We're so glad that you found us, and we can't wait to start working with your family and child!
We are currently accepting applications for children living in or receiving treatment in New England. We have limited funding available for children with cancer outside of New England who have relapsed or are transitioning to hospice. For additional questions, please refer to our FAQs. We will always be here for support and questions through your child's cancer treatment and beyond. We will be in touch as soon as we receive your application to let you know about the availability of our funding.
Below, you have the option to complete the application in its entirety online, right on this page, or you can download the forms below.
Below you will find the online version of our application, including an intake area for general information about your child and contact information to reach you, as well as 3 forms that should be completed, and the Medical Permission form to download/upload (must be signed by your child's oncologist clearing his/her participation in activities of interest). All information is encrypted, private, and secure.
Please note: this application includes personal information and the signature of the child's parent/guardian in order to release that information. If you are not the parent/guardian but would like to help the family of a child with cancer to complete the application and they are not present with you for the signature portion required below, please click here to complete a referral form, or click here to download the application to share with the family.