2023 Hooded Towel Request Form

Wrapped in Strength Project (WISP) hooded towel project gives homemade fun hooded towels to kids actively in treatment fighting cancer in the USA. Our purpose is to put smiles on children's faces, wrapping them in strength and giving encouragement to be brave. All in memory of Derick the Defeater, the most amazing, strong, kind, fun and flirty 8 year old boy ever.

1) Please do not request a WISP hooded towel if you have previously received one directly from us, through Gamerosity, from your hospital or other.

2) Only the child's parent or guardian can request a towel.

3) By submitting this form you agree to share a photo with us of my child with their hooded towel. If you are not interested in sharing, do not request one. Please understand that supplies to make, send, package, etc. this GIFT for your child, and possible only because of the generosity of Derick the Defeater's Crew (friends/family.) Without them we wouldn't be able to wrap kids in these fun hooded towels. A simple photo is a way for them to see that they are creating smiles and it helps for future supplies needed.

We are NOT an official non-profit and are giving this gift out of kindess and memory of Derick.

I have read and agree with the information above*

Yes

TOWEL #

MY NOTES

PR/PHOTO & TAG IG/FB

TOWEL DETAILS & DATE SENT/GIVEN

Date*

Date

Child's Age*

Child's First & Last Name*

Parent/Guardian's First & Last Name*

Your relationships to child*

Type of Childhood Cancer*

Is this a relapse*

Hospital Name & City and State where treatment is taking place*

Please provide ALL this information

Your Phone Number

Please enter a valid phone number.

Provide the LINK to your Facebook/Instagram /other Social Media*

Parent Social Media: LINK/@/URL for easier verification.

Your Email Address*

example@example.com

Please provide your FULL Address. Use commas to separate the next line in address: (Example: 123 Main St. # 20, Your Town FL 32000)

This is how your package will be addressed.

Please add the @/URL/LINK to your child's Care Page: Caring Bridge, Facebook, IG, Blog, etc. (We would love follow their progress and cheer them on).

Child's Care Page:*

Please provide the URL/LINK for easier verification.

Favorite Colors*

Please list below your child's favoite things: (Vidoe Games, Cartoons, Sports Teams, TV Shows, TV character, Movie, Animals, Toys..)

The more information, the better.

Child's Favorite Things: *

How did you find out about us?*

Any specific information appreciated so we can thank that person/source.

If you have any comments, questions or anything you'd like us to know please do so here.

Comments/Questions/anything you want us to know:

In 2023 Wrapped in Strength Project is working on a better way to get hooded towels in the hands of kids fighting cancer. As we work out the kinks, please expect to hear updates from us. When possible communication between us will be through email. Your REPLY to emails or messages is IMPORTANT to proceed in recieving a hooded towel.

By submitting this form you agree to all the information on this form and acknowledge that you know we are not an official non-profit and these hooded towels are a gift from Derick the Defeater's Crew (friends/family.)