Building Bonds Project Babywearing Consultant/Sling Library Referral Form
For trained babywearing consultants and sling libraries run by who wish to refer clients and are in possession of valid insurance.

You will be required to assess the family you are supporting and then work with us to decide on the most suitable carrier for them. We will share our current stock with you, to help with the decision. In some circumstances we may be able to source specific slings within our budget.

Once the Project has received your referral, we will contact you to discuss available options. The carrier will be sent to you directly (not the client) by post. It is then your responsibility to arrange the final fitting and donation with the client directly.

Please contact us before filling in the referral form if you require more information or guidance.

All information will be treated in the strictest confidence

Please confirm you are filling this form in for a client and that you have checked our criteria (https://bit.ly/2LrQiTQ) *
Required
It is your responsibility to use your professional judgement to assess which carrier will be best for your client from our current stock. Are you happy with this? *
First Name of client *
Your answer
Surname of client *
Your answer
Email address of client *
Your answer
Phone number of client
Your answer
How old is the child (or when is the baby due)? *
Your answer
Please tell us why you believe your client's family would benefit from a carrier and how they fit our criteria. *
Your answer
Are you aware of any other organisations who are involved with the family?
Your answer
If you have answered yes to the above, please provide the name of a key worker, if known:
Your answer
Are the family experiencing financial hardship? For example, in receipt of Healthy Start vouchers or lacking recourse to public funds - refugee or asylum seeker status? (They may be required to provide evidence.) *
If you have answered "No" to the above question, please detail how you believe your client's financial situation means they are eligible for the Building Bonds Project.
Your answer
Please confirm that you are happy to take responsibility for the fitting of the carrier provided by the Building Bonds Project, and that you as a consultant/ sling library have the correct insurance to cover such work, and can provide this upon request. *
Your first name *
Your answer
Your surname *
Your answer
Name of sling library/service (if relevant) *
Your answer
Please give details of your babywearing training *
Your answer
Are you happy for us to contact you? *
Your email address *
Your answer
Postal address for delivery of the carrier (please note this should be an address for the consultant/ sling library, NOT the client.) *
Your answer
How did you hear about the Building Bonds Project? *
Your answer
Please confirm you have read our privacy policy and are happy to proceed - https://bit.ly/2LoP3oH *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.