Beyond the Moon handles every application with the necessary diplomacy, while taking our privacy policy into account, and according to a well-considered list of selection criteria. We exclusively collaborate with dedicated vacation partners for our Beyond the Moon vacations.

Since the number of vacations per year is limited, we aim to respond to each vacation request as quickly as possible. After submitting this form, we ask you to follow up and respond promptly to our communication, and if your request is approved, to cooperate smoothly out of respect for other families who also rely on our support. Of course, we understand that you may have a lot on your mind, so please let us know if you need more time. We are happy to assist you within a reasonable timeframe.

 

* compulsory fields 



My contact details:  

 

Contact details of the sick child:

 

Contact details of the primary care physician and hospital where the child is treated:

 

Other: