We only accept referrals from professionals. Please ask your Health Visitor, Midwife or other support worker to submit a referral on your behalf.


Referrer Details

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Client Details


Select Bundles Required:

Children Clothing Bundle Details

Only needed if the clothing bundle is selected above.

Child one

Child two

Child three

Child four

Requests for other items

Please note: the majority of items are supplied from the donations we receive. Bundles contain a mix of new and nearly new items. We always do our best to supply all of the items requested however there may be times we are unable to source something which has been required.

Your Data: At Pembrokeshire Baby Bank, we take your privacy and data protection seriously. We want to assure you that we are fully committed to complying with the General Data Protection Regulation (GDPR) and other applicable data protection laws. You can read our privacy policy here.

As part of our commitment to transparency and compliance, we want you to know that we may collect and retain certain details about you as a referrer. This information is securely stored, and we use it solely for the purpose of maintaining a record of our business relationship and for communication related to our products or services.

Your trust and confidence in our handling of your data are of utmost importance to us. If you have any questions about the data, we hold about you or if you wish to have your details removed from our records, please do not hesitate to contact us. We are here to assist and address any concerns you may have.

If you would like to request data removal, please contact us.

Alternatively, if you are having trouble with the submission form, please click here to send us an email. Don’t forget to include all the relevant information from this page for the case you’re submitting.