Short breaks application form

  • Weekend and Holiday Clubs
    Short breaks are activities for disabled children and those with additional needs aged 5 to 18. If you have parental responsibility for the child, please complete this application form to apply. Once submitted, you will be contacted directly by the short breaks provider. A separate application will need to be completed for each child. To find out more about short breaks and activities please visit Trafford Directory.
  • All about your child
  • Child's gender
  • What is your child’s primary disability?
  • Complex Needs Service
  • Do you have a named social worker or social care reviewing officer?
  • Do you have a personal budget / direct payment?
  • If your child is known to the Complex Needs team, an amount will be deducted from your Personal Budget if your child does go along to these activities.
  • Charges
  • There is no charge for these sessions, however the provider may charge for individual activities. Providers will inform you of any charges before sessions take place.