Inside this issue...

CHAS at Home: Reaching Far and Wide Page 3

Support for SiblingsPage 6

Bereavement SupportPage 10

Care and support for the whole family

Lightening the Load

Autumn/Winter 2014

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Children, young people and their familiesat the heart of all we do.

WelcomeIt is delightful to welcome you to a new edition of CHAS Chat. As always, I want to say ‘thank you’ for your continued support. I never cease to be amazed by the endless and creative ways in which our supporters manage to raise the £9million needed to provide our vital services to children and their families!

One of the most effective ways in which people help us do this is by making a regular gift. And so I would also like to say an extra thank you to every one of you who already gives to CHAS in this way: by direct debit, standing order or through payroll at your place of work. Along with all of the other fundraising we receive, these donations really do mean that we can continue to assure families that we will be with them when they need us most. Like Jake’s family and other families in remote parts of Scotland, who you can read about opposite.

For anyone who wasn’t aware of regular giving, and the difference it can make to families such as the Porters, there is more information at the back of this edition. I also make no apology for including a form to make it as easy as possible for those of you who would like to set up a regular gift. n

Maria McGillCEO CHAS

CHAS is the Children’s Hospice Association, Scotland. Our vision is that every baby, child and young person in Scotland will have access to palliative care when and where they need it. This sits at the heart of everything we do.Our role as a charity is threefold.

We provide CARE through our two wonderful hospices – Rachel House in Kinross and Robin House in Balloch – and also through CHAS at Home which has teams working from Rachel House and Robin House as well as dedicated teams in Aberdeen and Inverness, caring for families in their own homes when they need it most.

We generate SUPPORT for our work through tireless, year-round fundraising to secure over £9million, needed every year to run our hospices and provide services to families.

We make CONNECTIONS between families, health and social care professionals, the media, supporters and infl uencers to raise awareness of our work and promote joined up service provision for families.

Caring for a child with a life-shortening condition can place unimaginable demands on families, physically and emotionally. Quite simply, we are here to lighten their load. n

Making a Will is a simple

way to ensure that the

people you care about are looked after in the event

of your death. Did you know that it can also be a

great way to support CHAS? In the past year, CHAS

received over £1.8million from gifts people generously

left us in their Will.

You can make or update a Will on-line, or through a

legal fi rm who support CHAS, by following this link

www.chas.org.uk/willyou

To discuss leaving a gift to CHAS please contact

Ali Kerr on 0131 444 1515.

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Making a Will is a simple

way to ensure that the

people you care about are looked after in the event

WILL you?

CHAS at Home: Reaching far and wideThere are many challenges for every family with a child with a life-shortening condition, and for some who live in a remote part of Scotland, or on one of the islands, it can be even more challenging to access the support that is available. This is where the CHAS at Home team comes in. They offer nursing and care support to families who are unable to get to Rachel House or Robin House as often as they would like, or in some cases where the journey is just too diffi cult to ever manage it.

For example, one of our support workers makes four visits a year to one of the Western Isles to care for a young person who, due to their illness,

is unable to travel to either of the hospices. CHAS at Home is currently supporting a total of 78 different families throughout Scotland, including families in Orkney, Shetland and other remote areas.

A CHAS at Home support worker explains“The travelling can be a real ordeal for a child who is ill – with unpredictable weather, the transport cancellations and delays linked to that – and even if it goes smoothly, the journey is always a very long one. Nonetheless, I’m pleased to say that some families do manage to come to one of the hospices for a break, and others have a combination of support, but it is always a sad day when they can’t come any more. However, they are always pleased to see us at their home and we keep them up to date with what’s happening at the hospices. If their child has died, we offer bereavement support and families are often able to come to our annual Remembering Days”. n

For the past two years, a duathlon event has taken place on Shetland in memory of Jake Porter, who died at the age of 11.

Jake and his family made the trip from Shetland to Rachel House for some respite breaks in the three years before Jake died two years ago. Jake was diagnosed with Infantile Batten’s disease when he was eighteen months old – a degenerative brain disease. June, Jake’s mum, said “From day one at Rachel House, the peace of mind was fantastic, we knew that Jake was in good hands and we were able to visit the family and Craig and I could have days out without worrying”.

The Duathlon events, staged by Shetland Triathlon Club, have raised nearly £20,000 for CHAS. Gemma Passmore, who helped Jake through her work as a physiotherapist with NHS Shetland, was key in organising the event, and Craig and June Porter have fully embraced the event and taken part both years running. They are pleased that Jake’s name lives on in the local community through the event and said “it is part of Jake’s legacy to us all”. n

Jake Porter Duathlon Jake Porter Duathlon

www.chas.org.uk 3

Autumn/Winter 2014

Summer Highlights

www.chas.org.uk4

Zoo-time! Ritchie Horrocks was one of the young people from Children’s Hospice Association Scotland (CHAS) who enjoyed a fun day out at Edinburgh Zoo thanks to Clydesdale Bank and The Royal Zoological Society of Scotland.

Children, young people and families had a special behind the scenes tour and got up close with various animals, including snakes and pandas. There was also an opportunity to handle some of the animals and meet with zoo staff to fi nd out more about our feathered, furry or scaly friends!

Gillian Levy, Relationship Manager at CHAS, said:

“ The children absolutely loved the visit – seeing and handling wildlife that they would not normally get the chance to meet. Animals are a great form of therapy for the children and young people, helping with their emotional and social behaviour, and thanks to Clydesdale Bank and the Royal Zoological Society of Scotland, the families enjoyed a fun and exciting day that they can cherish for ever.” n

Our very own World Cup!You could feel the tension in the air as the teams prepared, the anticipation of the gathering crowd, and the competitive spirit rising; the time was here, for the Robin House World Cup!

St Mirren Football Team has been supporting CHAS, and in June their community group came to play a match against Robin House. While play was constant, we had ‘rolling teams’ with players changing over throughout, so everyone had a chance to play (and exhausted players could sit-down!). Staff, volunteers, children and young people all joined in, with many others cheering at the side-lines.

Peter, a volunteer at Robin House was the, admittedly slightly biased, referee, and two giant mascots were there, who occasionally managed to block the goals. A bit of cheating added to the fun!

All the players received a medal, but the World Cup (an amazing model constructed by activities volunteer, Ellen) was presented to the winners who, of course, were Robin House. n

A Center ParcsadventureFour young people from Robin House took a wee holiday to Cumbria (with some staff too!) and had a great adventure! They stayed in lodges in the middle of the forest where birds, squirrels and ducks lived and visited them every morning. They enjoyed the activities available there such as archery and swimming but also extra treats of eating in a sports bar with amazing burgers and shopping in the centre where they could buy lots of nice things to take home. It was lovely to share a holiday with others and everyone was very understanding and didn’t mind if the wheelchairs slowed their bike journey down a little. We had a great time and we all arrived back at Robin House after four days very tired but also very happy with our special holiday experience. n

Queen’s Baton Relay visits Robin House

Robin House went sporting crazy when the Queen’s Baton Relay visited the hospice in July.

Children, families, staff, supporters and volunteers enjoyed a Commonwealth themed sports day, complete with races and medals, to mark the special event. The highlight of the day was when Sanjeev Mann did a lap of the grounds with the baton bearer.

CHAS was also represented amongst the baton bearers, with Connor Colhoun, who uses Robin House, volunteer Tracy Brittan and CHAS Fundraiser, Scott Maxwell among the hundreds of people chosen to carry the baton. nVIPs at T in the Park

Four very special guests spent the weekend at T in the Park this year. Rhys, Alistair, Milo and Dylan, who all use Rachel House, were treated like VIPs and enjoyed three days of festival fun. They saw lots of different acts and bands and got the chance to meet some of the stars in the Artists Village. On the Sunday, they returned to Rachel House exhausted but happy after an unforgettable experience. n

Summer Highlights

from our Activities Teams at Rachel House and Robin House

www.chas.org.uk 5

Being a sibling of a child or young person with a disability - and in particular of one who uses a hospice - brings its challenges. For example, due to the complex needs of their brother or sister, family life often has to revolve around the routine of feeds, medicines and hospital visits. This unavoidably leaves less time and attention for the sibling, who will also have their own fears and emotions about the situation.

A core value of CHAS is that we support the whole family, and that includes brothers and sisters. It happens in several ways, and different approaches may suit different siblings or age groups. This includes involving them in activities and outings when they are at a hospice, or when CHAS at Home are visiting their family. We also have Siblings Days, one-to-one support where required, or sibling groups such as the 4U group, or Columba 1400 (a residential outward bound experience for older siblings).

Whatever the method, our approach is the same: to value them in their own right and to give them the time and space just to be them. Meeting other siblings who are in similar circumstances to themselves can be incredibly benefi cial, they no

longer feel so isolated and different and they can speak openly. The need for some ‘normality,’ to be silly, to have fun also should not be overlooked. While building positive relationships with staff, they also fi nd ways to express themselves, learn coping skills, collect shared family experiences and memories, or even simply have the knowledge there is someone they can turn to if they need to. In CHAS, support continues for parents and siblings when they become bereaved, and having already established a bond with siblings, it helps with this transition. Seeing siblings growing - not only in height (which they seem to do rapidly!), but in confi dence, resilience and self-worth, illustrates the positive impact of the support that CHAS is able to give. n

www.chas.org.uk6

Support for siblings

890

92,000

5 yearsNumber of volunteers

Age range of volunteers

Total number of hours donated in 2013/2014

Average length of tenure of volunteers

Value of hours donated in 2013/2014

£1.5m

Gender breakdown:

75% Female 25% Male

Volunteering in numbersApril 2014

15-89 Number of NEW volunteers in 2013/2014

234

Age profileUnder 18: 43 46 – 55: 109

18 – 25: 99 56 – 65: 157

26 – 35: 58 66 – 75: 194

36 – 45: 57 Over 75: 48

Autumn/Winter 2014

A driving force!There is no end to the many different tasks that our CHAS volunteers undertake for us, and one group of our unsung heroes are those who help us by driving.

They carry out so many journeys for us – journeys that make a real difference to the children, young people and families that use our services. For example, they pick up stores from local hospitals; they take children and young people out on trips or pick up families up so that they can come to Rachel House or Robin House for their planned break. They collect and take home families who come in for bereavement support meetings and remembering weekends; they drive families to appointments as they organise their child’s funeral, and they return forgotten, and often much-treasured, items to families’ homes.

As well as our hospice drivers, there are nine volunteer drivers in our retail division who collect and deliver items on behalf of our shops, using both the CHAS van and their own cars.

Their efforts bring in all important funds – for example, they take items to Pine Lodge Auction House near Auchtermuchty for us. Last year we made £14,000 from auctioning these items. And every week, Jess Greenhill takes books from Kinross to a café at Tillicoultry where they are sold on our behalf – this has raised over £30,000 for CHAS in the past five years.

Jamie, pictured here with the Robin House van, says “I like the variety of the work that I do - one day I can be picking up a family to take them to Robin House, then the next day I can be going to the cinema. I often drive for the same children and their families and I really enjoy getting to know them. Everyone is always friendly and appreciative, which has helped improve my confidence.” n

Home SupportCHAS are delighted to announce that we are now working in partnership with Community Service Volunteers (CSV) on a new and exciting pilot project called Home Support.

Inevitably, caring for a seriously ill child or young person puts many extra demands on a family, and CHAS are always looking for ways in which we can offer additional help to the families we support. This latest partnership aims to offer families practical support in their own homes. Volunteers might help families with gardening, shopping, cleaning, cooking, looking after pets, driving to appointments and maybe even some support with budgeting. Another important aspect will be for volunteers to offer quality time with brothers or sisters – this might be chatting, reading, crafting, playing and accompanying them to playdates and activities.

At the moment we are recruiting for volunteers in Edinburgh and the Lothians, Glasgow, North Lanarkshire, Stirling, Falkirk and Clackmannanshire.

We have already recruited some volunteers who have attended training sessions – our new recruits are very excited about being involved in this project:

“ Home support caught my interest because it is support aimed at the family members to give them time for themselves and I have always been very keen to help make someone’s life more positive..”

Karen, North Lanarkshire

If you are interested in volunteering or you would like to fi nd out more please contact

Sam Jelf – CSV Volunteer Managersjelf@csv.org.uk or 07475 414713

CHAS Local Hospice LotteryCHAS has recently joined the Local Hospice Lottery, giving you the opportunity to be part of a lottery that helps provide funds to support children and young people with life shortening conditions in Scotland, whilst also giving you the chance of winning a top prize of £1500 every week.

This is an exciting new initiative for CHAS, and we expect to raise at least £500,000 through the lottery over the next fi ve years to help support families like the Meeks, who use Robin House, and are kindly

supporting this exciting project by telling their story in the publicity material.

If you would like to join or fi nd out more about the lottery, please call 0845 122 0772 and ask for an information pack to be sent to you or visit the website at localhospicelottery.org n

www.chas.org.uk8

From jeans to jewellery, bric-a-brac to books household goods to handknits, our seven CHAS shops in Byres Road, Dunfermline, Kinross and Stirling are a true shopper’s paradise.

Our shops specialise in selling your unwanted items - the shoes that don’t quite fi t, the party dress that you’ve never worn, the gadget that you never use or the musical instrument you never got round to mastering. However did you know that apart from our great selection of every day wear and terrifi c bargains at under £10, we have regular customers in all shops who are looking for designer wear, vintage, collectable, handcrafted, unusual or rare higher value goods.

Might you have something unusual, rare or quirky that needs a new home? We always do our best to ensure that every item donated to CHAS is sold for the maximum amount possible.

Please help us stock our shops this autumn by donating just one item. An item worth £5 could pay for a delicious home cooked lunch for a family staying at the hospice. An item worth £10 could pay for a day’s supply of oxygen for a very sick child. Donations can be dropped off at any of our shops. Don’t forget to ask friends, family and neighbours too.

See page 14 for contact details.

Here is a fl avour of somedonated items that have soldin our shops recently for amazing prices:

Help stock ourshops this autumn

Handmade

dolls house

Handmade vintage patchwork quilt

Original 1950s

party dressOlympus Camera

£699

£79.99£62.99

£48.99

Ortak silver and

amethyst pendant

and earrings

£44.99

www.chas.org.uk 9

A Christmas bonus!Back by popular demand is the CHAS calendar featuring postcards, recipes and space for notes. This will be available through our shops and mail order along with a selection of Christmas cards and a CHAS diary.

Take advantage of our early Christmas offer in September, any three packs of cards for £10.

For more information or to request a brochure please contact us by phone 01577 865557 or 867810 or by email retail@chas.org.uk

3 packsof cardsfor £10

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Remembering DaysEvery year Rachel House and Robin House hold Remembering Days - an opportunity for bereaved families to share their memories and to remember their children. It is a time of gentle reflection and hope, and although there are occasional tears, there is chat and laughter in abundance.

At the heart of the day is the Service of Remembrance, when a candle is lit and the names of the children who have died are read out - meaningful and poignant moments.

This year the days were enriched by poetry, songs, the story of the Pearl-Maker, and beautiful music. This was followed by a buffet tea and a variety of activities for all the family. One of the activities offered was to add to a wonderful collage of pearls and shells which depicted the story of the little oyster who lived in the sandy ocean bed...

Bereavement supportPart of the care and support CHAS offers familiesUpon the death of their child, families will initially be supported in the way that best meets their expressed need. The first few days can be very disorienting and some families choose to stay in one of the hospices whilst others find comfort in being at home. CHAS seeks to support each family in the best way for them.

The family support team offer a range of support from individual bereavement counselling sessions, telephone befriending, group sessions with other bereaved parents and Seasons for Growth programmes for siblings and parents to enable them to explore and understand the grief reactions they are experiencing.

Cards are sent to mark the anniversary of the child’s birth and /or death – one parent recently said: “When that card comes through the letterbox, it’s the only way we know that the outside world remembers

our child’s precious life.” Bereaved families also receive our regular bereavement newsletter and are invited to annual Remembering Days. When we have the opportunity, we offer families short breaks in holiday homes that our supporters have kindly donated.

All that we offer to each family is agreed with them in advance and is tailored exactly to what they want. n

Within her shell was entrapped a fragment of moonlight - her own special treasure. One grey day the shadow of a fishing boat was cast over the sea bed and before she could take in what was happening she was caught up in a net and swept out of the water. Lying in the boat, gazing at the sky above the earth, she felt herself gathered up in the gentle hands of the Pearl-Maker. As he prised open her shell he looked lovingly at the pearl within her and said ”I’ve been waiting for you little pearl. Without you my eternal necklace could not be complete.” And with infinite tenderness he joined her to his circle of light and placed the shining necklace around the earth. n

www.chas.org.uk10

“�The�Bereavement�Group�is�helping�so�much,�it�gives�me�confirmation�that�I��am�doing�okay.”�A parent

“�Just�being�able�to�talk�to�someone�when�you�were�feeling�low�especially�at�the�beginning…�by�the��end�I�was�a�lot�better.”�A�bereavement�befriendee

“�The�individual�bereavement�support�was�and�is�excellent,�Rachel�House�has�been�great�for�me�and�my�family”�A�parent

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Autumn/Winter 2014

Charity ofthe YearMost charities will tell you that corporate support is hugely important and here at CHAS it is no different. We have been very lucky to be Charity of the Year for some fantastic companies over the last year and we are so grateful. What is more exciting is that each of these partnerships is different and tailor made according to company objectives with fantastic results for all involved. We have had staff members volunteering both time and services, arranging their own events, spreading awareness of CHAS (which has resulted in further partnerships) and on top of all this raising fantastic sums of money to help us support families. Each company has used their strengths to ensure CHAS get the most from the relationship and we have really enjoyed supporting and guiding them in their efforts.

Scotrail, Savills, DM Hall, Anderson Strathern, Campbell Dallas, Bidwells, Wilko’s, Tesco (Bank), Dell, Co-op, Standard Life are just a few of the companies we have been working with this year although there are many, many more. We want to say a huge thank you to you all, without your help we could not continue to offer the much needed support to all the families we do.

If you would like to discuss supporting CHAS as your Charity of the Year please get in touch with Criona Knight, crionaknight@chas.org.uk or0131 444 1900. n

A beautiful retreatfor the Robin House gardenDundee and Angus College have created a beautiful contemplative garden for Robin House. The design is infl uenced by the architecture of Robin House and features a dramatic, curving stainless steel roof. The planting features unusual alpines in troughs, lush stream side plantings, steel blue specimen conifers and purple and blue fl owers.

The garden was on display at this year’s Gardening Scotland event at the Royal Highland Centre during the summer, where it scooped the silver award and was featured on The Beechgrove Garden. It is now being transplanted to Robin House where families will have the chance to enjoy it. n

12 www.chas.org.uk

Knit one, purl one for Sandra’s Scarf Challenge Sandra Farrer from Gateside in Fife hastaken on a woolly challenge. She isaiming to make a giantscarf which reaches fromher home to Rachel House– over seven miles! Sandra isaccepting donations of crocheted,knitted or sewn scarves which area minimum of 1.5 meters long.When she has enough they willbe sewn together during a 24 hour ‘stitchathon’. Later the specialscarves will be sold at auction duringa charity dinner. The remaining ones will be sold individually. Scarves can be handed in to any CHAS site. For further information contact Rachel at the Kinross Fundraising Offi ce on 01577 865222 or rachelcheer@chas.org.uk n

21 Countriesin 21 Days During the summer David Sallnow from Dunfermline took on an epic sponsored challenge for CHAS. He travelled through twenty one countries in twenty one days on his KTM 600 motor bike. Ex-submariner, David, has just become a grand-parent and decided he would like to support CHAS with his latest adventure. David set off from Rachel House on 9 June and travelled through twenty one countries in Europe including Andorra, Monaco and Slovakia. He fi nished up at the Moto GP track at Assen, where he met up with friends. n

CAN youbelieve it?Across Scotland in thefi nancial year 2013-14 CHAS had 2,627 collectingcans placed around shops,businesses and at events!

Funds raised throughthese cans totalled

£96,742.43!That works out at anaverage of £36.83 raisedper can!

As you can see from thesefantastic fi gures it is amazinghow some loose change reallyadds up and how collecting cans play an important part in helping us to raise the £9 million that is needed each year to keep our vital care services running. If you know of an opportunity where we could place oneof our cans, please get in touch with yourlocal fundraiser. n

We loveto talk

www.chas.org.uk 13

Are you a member of a community group, club or a teacher at a school? We would love to come along to tell you more about CHAS, the work we do and how your support helps over 350 families every year. We are happy to join you at a time that suits you, from a quick fi ve minute summary or for a full hour workshop! We also have some fun activities and materials for children to get involved with. Please just get in touch with your local fundraising offi ce to make a booking. n

ChristmasHelping CHAS andthe environment With Christmas just around the corner it won’t be long until we turn our thoughts to gifts, decorations and cards. In recent years there has been an increase in the number of group members, schools and teams in workplaces who make a donation to charity in lieu of sending each other cards, not only helping the environment but also raising lots of funds for great causes during the season of goodwill. Why don’t you try to encourage your colleagues, team members or friends to give it a try this year and help us to create smiles and memories for the families who use Robin House, Rachel House, or our CHAS at Home service? n

Bring a bulbis back!The Robin House gardens are a place for our families to relax, have fun and create special memories. Come along to our Bring a Bulb Day on Sunday 5 October at Robin House and help ensure the gardens look even more fantastic next spring.

There is no need to book but if you would like further information please contact Scott or Samantha on 0141 779 6180.

Dig out your wellies and we will see you there! n

Share your specialday with CHAS Getting married? A special birthday? Whatever the occasion, we would love to be a part of it. Did you know you could help to raise awareness and funds for CHAS to make your day even more meaningful.

The question of ‘what do you buy for someone who has everything’ has been answered – by kindly requesting that friends and family make a donation to CHAS in lieu of a gift. This way your nearest and dearest will truly be giving a gift that will make a difference.

We also have some wonderful items that may be purchased in advance that can be used as wedding favours or items in goody bags; pin badges, trolley key rings or CHAS sweeties!

If you have a special event coming up and would like to share it with us, please get in touch. n

Contact us...

CHAS Glasgowtel: 0141 779 6180 email: glasgow@chas.org.uk

CHAS Kinrosstel: 01577 865222 email: kinross@chas.org.uk

CHAS Edinburghtel: 0131 444 1515 email: edinburgh@chas.org.uk

CHAS Aberdeentel: 01224 645000 email: aberdeen@chas.org.uk

Retail Teamtel: 01577 864692 email: retail@chas.org.uk

Outdoor Events Teamtel: 0131 444 4904 email:getsetgo@chas.org.uk

Head Officetel: 0131 444 1900 email: info@chas.org.uk

Canal Court, 42 Craiglockhart Avenue, Edinburgh EH14 1LT

CHAS at Murray Place 58 Murray Place, Stirling, FK8 2BU Tel: 01786 446400

CHAS at Byres Road 135 Byres Road, Glasgow, G12 8TT Tel: 0141 357 6884

CHAS at Duloch 5a Turnstone Road, Dunfermline, KY11 8JZ Tel: 01383 723515

CHAS at East Port 32-34 East Port, Dunfermline, KY12 7JB Tel: 01383 741111

The Gift Shop 23 Avenue Road, Kinross, KY13 8EP Tel: 01577 865557

Bazaar 1 88 High Street, Kinross, KY13 8AJ Tel: 01577 861380

Bazaar 2 76 High Street, Kinross, KY13 8AJ Tel: 01577 865190

Shop with CHAS

What a regular gift means to CHASCHAS needs your help to care for children and young people like Jake Porter and all the many others who use CHAS services.

One of the easiest ways to do that is by giving a regular monthly gift to us. Here are some examples of what your donation could pay for:

£5 a month could pay for toys and materials for one family session with the CHAS at Home team

£8 a month could pay for a skilled family support worker to provide three hours of emotional support to a bereaved family like Jake’s

£10 a month could pay for a day’s supply of oxygen for a child staying at Rachel or Robin House

£18 a month could pay for one of our doctors to provide four hours of expert medical care

All you need to do is fill in the Direct Debit form on the next page. Whatever you can afford to give, thank you on behalf of all the families who rely on vital CHAS care. n

www.facebook.com/childrenshospiceassociationscotland

www.twitter.com/supportchas

www.youtube.com/CHAScharity

Keep up to date with CHAS news: www.chas.org.uk

Scottish charity number SC 019724

Help us by donating

Give a regular monthly gift to CHASPlease complete the form in black ink, tear it off and fold it in half, stick it down and post it to us. There’s no need to put it in an envelope and there’s no stamp required.

Instruction to your Bank or Building Society to pay by Direct Debit.

I would like to give: £5 n £8 n £10 n £18 n or my choice £ __________ each month

starting on 1st / 5th / 15th * of ____________________ month __________ year. *Delete as applicable.

Your contact detailsFirst name _______________________ Last name _______________________ Tel ___________________

Please provide your email address in the box below if you are happy to receive further information about our work and other communications via email.

Email ____________________________________________________________

Please tick here if you do not want us to send you further information about our work and to contact you in the future by post or telephone.

Your payment detailsName(s) of account holder(s) __________________________________________________________________

Your address __________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________ Postcode ______________________

Bank/Building Society account number Branch sort code

To the Manager, Name of Bank/Building Society ________________________________________________

Branch address ________________________________________________________________________________

________________________________________________________________ Postcode ______________________

Signature(s) of account holder(s) ________________________________________ Date _________________

Instruction to your Bank/Building SocietyPlease pay Children’s Hospice Association Scotland Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Children’s Hospice Association Scotland and, if so, details will be passed electronically to my Bank/Building Society.

If you are a taxpayer, please tick the box and help us to claim at least 25p in every pound that you have given to CHAS (at no cost to you).

I request the charity to treat all donations I have made for the four years prior to this year and all donations I make from the date of this declaration, until I notify you otherwise, as Gift Aid donations. Note: You must pay an amount of income tax and/or capital gains tax at least equal to the tax we reclaim on your donation.

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Thank you