Rainbow Bundle Order

If you have been given a code by your midwife, you can claim your free Rainbow Bundle here.

Full Name

Full Address (including postcode) (required)

Email Address (required)

Your Estimated Due Date

Your Hospital (required)

Name of Midwife (who gave you the code) (required)

Your Code (required)

Gestation of your previous loss (required)

Personalise Your Bundle

Which sticker would you like? (required)

We require personal details such as your email and postal addresses in order to send you your bundles. Unless you tell us we can below, your details WILL NOT be added to our mailing list. If you would like to be updated on all things Kicks Count, please let us know by opting in below.

Mailing List Opt In

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