Losing a loved one is incredibly difficult.

By supporting Evelina London Children's Hospital in memory of someone close to you, you can help fund equipment, life-changing research and better facilities for our future patients and their families.

It's a positive way to celebrate the life a loved one, whilst also saying thank you to the dedicated staff at Evelina London who may have helped you through a very difficult time. 

If you’re thinking of supporting us in this way, please accept our sincere thanks. 

If you have any problems with this form, please contact us by phone on 020 7848 4701 or email:


>> back to Support Evelina 

Support Evelina London in memory of someone close to you.


Please provide your contact and payment information below.

If you would rather send your donation by post, click here to download our gift form. Please complete the form and return it with your donation to:

Fundraising - Guy's and St Thomas' Charity
Virginia Woolf Building - 2nd Floor
22 Kingsway

* Required


Contact Information
Please use your home address if you are making a Gift Aid Declaration.

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Survey Questions

* I would like my donation to go towards

* Who are you remembering? (Please write the full name of your loved one).

* What is their relationship to you?

* We’d like to keep you up to date about fundraising, news and events via e-mail. Are you happy for us to do so?

* We'd also like to keep you up to date about fundraising, news and events via SMS. Are you happy for us to do so?

Guy’s and St Thomas’ Charity will hold your details to process your donation and keep you up-to-date on fundraising and what’s happening at Guy’s, St Thomas’ and Evelina London Children’s Hospital. If you would prefer not to hear from us you can stop receiving further communications at any time by telephone on 020 7848 4701 or info@supportgstt.org.uk. For information on how we will use your details please see our privacy statement.


Payment Information

* Donation Amount: £
giftaid it

Gift Aid your donation and Guy's & St Thomas' Charity will be able to reclaim the tax on your donation and receive another 25p from every £1 you donate. To qualify for Gift Aid you must be a UK taxpayer and pay at least as much Income and/or Capital Gains Tax as the amount to be reclaimed on all your charitable donations in the appropriate tax year. If you do not, then it is your responsibility to pay the difference. 

Please inform us if you no longer pay sufficient UK tax, change your name or home address, or wish to cancel at any time after the date of this declaration.

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© Guy's & St Thomas' 2015. Registered Charity No.1160316 Company limited by guarantee registered in England & Wales No.9341980.