Skip to content
CLOSE THE GAP: for children's palliative care, everywhere
Please complete this form to pledge your support for the Close the Gap Campaign. We would like to know what you plan to do to support the campaign and plan to follow up to see if you have been able to make progress.
1.
Your name
2.
Your email address
3.
Your role
Child or young adult with a life-limiting condition
Family member / friend of a child with a life-limiting condition
Member of the public/ local community
Clinician or other professional
Children's palliative care team or service providing organisation
NGO/Advocacy Group
Policy maker / MoH
Funder/Donor
4.
Your organisation (if applicable)
5.
Which country are you from?
6.
Why are you supporting the Close the Gap Campaign?
7.
What specific action(s) do you plan to take?
8.
If you are responding on behalf of an organisation, upload your logo here to show your endorsement of the campaign - this will be displayed on our website
Choose File
No file chosen
Thank You!
Please
Join as a Member
to receive updates on the progress of the Close the Gap Campaign.
You can also show your support for ICPCN and Children's Palliative Care by raising funds via our
Miles for Millions Movement.
