Short Family Break Application

If you have a long term sick or disabled child (any long term illness or disability will be considered for support), we are able to offer your family a short break at our holiday home at Butlins in Skegness. This will be on a self-catering basis and there is no hire charge, but the holiday will be subject to a £100 security bond which will be returned at the end of your holiday.

Please note we ask for a £50 donation towards the cost of preparing and cleaning of the caravan for your stay, this also includes the provision of bedding for the duration of your visit.

This application is subject to the application terms and conditions, which can be downloaded by clicking here, the YCT holiday terms and conditions and the Butlins guest terms and conditions.

  • APPLICANT
  • CHILD
  • BREAK
  • CONFIRM

Section 1 : Applicant Information



Section 2 : About The Child




As part of the application process we need to verify the application with a medical professional, a key worker or social worker. Please supply details of who you would like us to contact to verify your application.

Section 3 : Holiday Breakdown


Please provide further details of the type of break you would like to apply for. Our breaks are to aid the mental health of the child and their immediate family.

Please note: We cannot allow friends or extended family members onto our respite breaks. These breaks are designed for the child, their siblings and parents/carers only.

Our accessible caravan has wheelchair ramp access, wide sliding doors and full wet room and will suit most families. 

Please contact us if you need to clarify our facilities before making an application for support.


We need to provide the details of everyone staying in our caravan to Butlins to provide our breaks, and we will take these details from you if your application is successful, but in the meantime we need to know how many adults and children in your family unit who wish to go on the break.

Our caravan is two bedrooms. The first bedroom has a King size bed. the second bedroom has two full size singles and there is further small double pull-out in the lounge.

The maximum occupancy is 6 people.

Section 4 : Confirmation


Please use your mouse or finger to sign your usual signature.

Yorkshire Children’s Trust – a local charity, helping local children