Mismoosh Ltd – Support Form for Special Situations

For Children, Prisoners, or Anyone Needing Extra Care.

Updated: July 2025

1. Why this form exists

Some people face hard times or need extra kindness. This form is here to help:
– Children or teenagers without parents around
– People in prison or secure places
– Anyone with autism, trauma, or mental health difficulties
– People who prefer clear, kind, and calm communication

We at Mismoosh Ltd believe that everyone deserves safety, respect, and understanding. We’re here for you, and we will always listen.

2. Who can use this form

You can use this form if:
– You are under 18 and need help without your parent or guardian
– You are in prison or a secure unit
– You support someone who needs help (like a carer or guardian)
– You want communication to be slow, simple, or gentle

If you’re not sure – that’s okay. Ask us!

3. What we kindly ask from you

To support you safely and respectfully, we might need:
Your name and age
A trusted adult’s name (if you have one)
Notes about how we can help you better (like: “I don’t like phone calls” or “please give me extra time”)
Permission from a guardian or officer if needed

You can say what you feel or ask someone to help you fill this in.

4. What Mismoosh Ltd will do

We will always:
Speak kindly, and never shout or rush
Give you space to ask questions
Write things down in easy words
Respect your story and keep it private
Use safe tools to protect your data
Make you feel safe and in control of your choices

We are not a police service or lawyer. We are a helper you can trust.

5. Choose how we talk to you

You decide how we talk to you! Please tick what you prefer:
☐ Email or letter (we write everything clearly)
☐ Phone call (we speak calmly and slowly)
☐ Video call (Zoom or WhatsApp – with someone with you if needed)
☐ In person (with a support person nearby)

We use private tools like **Zivver** if things are sensitive or personal.

6. Sign when you’re ready

This shows that you (or your helper) understand that we are here to support.

Your full name: ____________________________________
Your signature (if you can): __________________________
Date: ____________________

Support person / guardian’s name: _________________________
Their signature: _________________________
Date: ____________________