Apply for a Stay

Cholmondeley accepts two types of referrals when applying for a child's stay: agency referral, or self-referral. 

Please note that for the remainder of 2018, Cholmondeley Children's Centre will not be accepting referrals for first time child stays. However, our emergency respite care will remain available during this period. So, whether you are a main carer, community agency, school, or Oranga Tamariki, if you feel a child or family needs urgent support then please contact us and we will do our utmost to assist you.

Our current wait list is because Cholmondeley Children's Centre has experienced a significant increase in the demand for our respite care services. We recognise that to provide the best possible outcome for children within our care model, the children benefit from a series of short, quality stays with us throughout the year.  The pause in accepting new children, for this short period of time, is so we can meet the respite care needs of our existing children by providing each child with a more optimal number of Cholmondeley stays specific to their circumstances.

Any enquiries about this can be directed to Amanda Sherpa at or give us a call on: 03 329 9832


Agency Referral

Those referring a child to Cholmondeley who are from:

  • a professional organisation or agency
  • a school
  • an NGO
  • Oranga Tamariki

need to contact us at or 03 329 9832 to request a special referral form. Once completed this form is needs to be scanned and emailed to


Admissions Form ImageIf you are: 

  • a parent/carer
  • family/whānau

of the child/ren being referred, you may begin the referral process by downloading the self-referral form. You must print and complete the form by hand, before signing, and returning to us via one of the following methods:

email |
post | PO Box 12276, Beckenham, Christchurch 8242

We can also post this form to you if you don't have access to a printer: call 03 329 98 32 to request one.

Please note: A separate form must be complete for each child from one family. Please tell us as much as much about the child's situation as possible. All information you provide will be kept secure and only used for the purpose of assessing the referral and planning for children's wellbeing during their stay.

If you need assistance with this form, or would like more information, please contact us — it's our job to help you where we can.