Request 'Paint a Smile'

We want colour in our children's hospital, thanks to the 'Paint a Smile' project

Our Paint a Smile project is offered free of charge by Beyond the Moon to hospitals where, amongst others, sick children from our target group (see point 2) are cared for. Should your hospital wish to make use of our offer, please fill in the form below. (This project is currently only applicable in Belgium.)

Contact details:

Hospital full name

Application 'Paint a Smile' project:

Are there already any murals in the service?

No
Yes, in the children's rooms. Please upload and send a photo via “choose file”.
Yes, in the examination rooms. Please upload and send a photo via "choose a file".
Yes, in the waiting rooms. Please upload and send a photo via “choose file”.
Yes, in the play areas. Please upload and send a photo via "choose a file".
Yes, in the corridor. Please upload and send a photo via "choose a file".

If yes, from when do these murals date? (year)

Additional information

The “Paint a Smile” interactive 3D murals could be scheduled at the earliest (please indicate month / period)

I declare that I have read the Beyond the Moon privacy policy (see below in the dark banner) and I accept it.

We want colour in our children's hospital, thanks to the 'Paint a Smile' project

Contact & Bank account details

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