Radio Cavell Request Form

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Patient/Listeners name *

Ward name /location in Hospital

Artist (if Known)

Song Title (if known)

Your Name *

Relationship to Patient/Listener

Specal message *

Which evening would you like the request played *

YYYY

Currently we broadcast live request shows on Monday's, Tuesday's and Friday's between 9-10pm.
Radio Cavell will try to play the request you have made on the evening requested wherever possible. In some situations this may not be possible due to staffing or the choice of music but we will do our best at all times.

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This form was created inside of Radio Cavell.