Helping those in the community tackle cancer or adversity

Application For Assistance Form

You can be assured that all information that you provide is treated confidentially.
Please note, by typing your name you are consenting to sharing your information with Sleapy’s Foundation review committee.
For more information on our Privacy Policy, please visit our policy here on our website.

We appreciate that this is a stressful time, so will endeavour to consider your application and provide you with an outcome as soon as possible.
If you require any additional support to complete your application or have any questions, we’re here to help.
Please contact Robynn Sleap on 0423 956756 email [email protected]
or Scott Pfeiffer on 0414 562103, email [email protected] for assistance.
Please see the guidelines here to assess your application before submitting.
I understand that by giving my consent, Sleapys Foundation may use the photograph, video or audio recording taken of me. The Foundation may reproduce the image/s in any form, in whole or in part, and distribute the works by any medium (including online, social media, direct mail, flyers, publications, case study, newsprint and multimedia) for the purposes of education, promotion, fundraising and marketing. I understand that the Foundation will not pay me for giving this consent or for the use of my image(s), may keep the image(s) on record until I revoke my consent, will return or destroy images if I withdraw this consent (with the exception of those already published), may use the image in the future unless I specify limitations for its use and will not infringe the rights of any third party by exercising its rights given in this consent.
I give consent to the Foundation to make, use and/or retain an image(s) that may identify me, my child or an individual for whom I have authorised decision-making responsibility.
I understand that I can withdraw or modify my consent at any time in writing to

Sleapys Foundation,
C/- South Newcastle Leagues Club,
46 Llewellyn Street, Merewether NSW 2291
or via email [email protected]