Short Breaks Application Form

Short Break Vouchers are available for children and young people who have an Education, Health and Care Plan and must be applied for annually. Please be aware that you will need to collect and sign for your vouchers from Civic Offices in Central MK.

Terms and conditions

Vouchers need to be used by March each year and can only be used for short break activities.

We collect and use information so that we can provide you with services under the Children and Families Act 2014 Legislation.  Full details about how we use this data and the rights you have around this can be found at www.milton-keynes.gov.uk/schools-and-lifelong-learning/send-local-offer/send-privacy-notice

If you have any data protection queries, please contact the Data Protection Officer at data.protection@milton-keynes.gov.uk

Parent/Carer full name: *
Parent/Carer email address:
Address and postcode: *
Pupil name: *
Pupil date of birth:
Does your child have an EHC Plan?:
Yes No