• Rob Smith"Regain has been very supportive to me and my family and many major moments and memories of my life have happened with Regain"
  • Bali 2017Why not take part in an Open Cycling Challenge for Regain?
  • Sports Award LuncheonCome along to the annual Regain Sports Award Luncheon
  • Leave a LegacyLeave a Legacy to Regain
  • Dr Owen Lowery"Dr Owen Lowery is a Published Writer and Poet, with a PHD for Creative Writing"
  • Alex Rickham (Rio Olympic Medalist)"Regain has been an inspiration to me. Regain supported me in my bid to get into the GB Wheelchair Racing Team at the Paralympics. Without Regain’s help I would never have achieved so much"
  • Dragon Boat Racing 2017

Apply for a Grant

   
PERSONAL DETAILS: CARER  
Surname
Christian Name(s)
Address
E Mail Address
Phone Number
Are you the primary, unpaid carer of a person named below who is tetraplegic through sporting injury?
Occupation other than primary career
Occupation before becoming primary career
How long have you been the primary career?
Do you have other people you care for (e.g. children, parents etc).
If yes, please provide details
Give brief details
PERSONAL DETAILS: PERSON CARED FOR  
Surname
Christian name(s)
Address (if different to above)
Date of Birth
Email Address
Phone Number
INJURY DETAILSOF THE PERSON CARED FOR  
Occupation at time of Injury
Your current Occupation
Date of Injury
Level of Injury
Complete or Incomplete
Describe how the Injury Occurred
Describe ability - and how your injury impairs you
Which Spinal Injury Centre were you initially treated at?
Which Spinal Injury Centre do you now attend?
Have you ever received support from Regain?
If yes, please provide details (date, size of grant, nature of grant)
GRANT DETAILS: CARER  
Provide a brief description of what you want to do with the grant
Total Grant Requested £  
Replacement Care £  
Travel £  
Accommodation £  
Other, Please Specify
Other 1, e.g. GYM Classes for 6 months £  
Other 2, e.g. Travel Insurance £  
Other 3, e.g. Contribution to Food £  
CONFIRMTION  
I confirm that above personal information is to the best of my knowledge true and, if awarded, the grant will be spentalong the lines set out above.
Electronic Signature
Date
  security code
Enter Security Code: