Services: Magic and Miracles

SERVICES

Magic and Miracles

Please read before completing the application...

Last year, Our Amazing Fighters launched our first-ever holiday assistance program. We had no idea what to expect but were able to provide 7 families with full Christmas mornings for all of their children.

We ask that you take your time in completing this form and Our Amazing Fighters will get back to you on whether you qualify and have been accepted to our 2022 'Magic and Miracles' program.

Please only apply if you have had or do have a child battling cancer & applicants MUST live in the United States.

**If accepted, you will be contacted and given a form for us to get to know your family better so

we can provide what is wanted and needed for

your holiday.**

Parent/ Guardian's First & Last Name

Email & Phone #

Address

Social Worker's Name and Contact (email or phone #)

Child on Treatment's Name & Date of Birth

Give us an overview of your journey so far...

What are your financial needs? Have there been any setbacks?

Medical Information Release: By typing 'AGREE' in the box below, I give permission for my child's hospital professionals to share information pertinent to my child's support with Our Amazing Fighters. All information received will be kept confidential and your information will never be shared with third parties.

Thanks for submitting an application to be a part of our 2022 'Magic and Miracles' program. We will get back to you with more information in the coming days.

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SERVICES

Magic and Miracles

Magic and Miracles

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