Apply to become a parent representative

Apply to become a parent representative

Please note you need to complete the form in one go (you can’t save and return to complete it). So we suggest that you take a look through the questions we ask below and be ready to provide all the information before you start filling it in.

About you

About your baby / babies

We ask for this information as we suggest that parents should have had a baby on a neonatal unit within the past five years and be a year post discharge.

Your application

References

Please provide us with the contact details of two people we can contact to act as character referees for you (this cannot be a relative or partner).

Referee one

Referee two

Let's keep in touch

Your support helps the most vulnerable babies in the UK. We’d love to keep you updated with news about our work and ways you can get involved with Bliss. Are you happy to be contacted by:

Your privacy

We (Bliss and Bliss Scotland) promise we will use the personal data you have provided to communicate in the way(s) you have agreed to.

We will not pass on your details on to any third party organisation for their marketing purposes.

Find out how we look after your personal details in our Supporter Promise

You can opt our of all communications from Bliss at any time by calling the Supporter Engagement Team on 020 7378 5740 or emailing supporters@bliss.org.uk.