Wiggly Covid Help Application Form - Wiggly Wigglers Knowledgebase

Name of Charity *

Name of Applicant *

Role in Charity *

Address *

Email address *

Telephone number *

What does your Charity do? *

How are you funded? *

What are you doing during the pandemic? *

What is the geographical area? *

How many people/ animals are you helping? *

If successful, how will you use the funding? *