Magic And Miracles Application
Thank you for your interest in our 2023 holiday program, "Magic and Miracles"! At Our Amazing Fighters, we believe that every family fighting pediatric cancer should have a community fighting alongside them. Our hope with M&M is that our families get to experience the joy of the holiday season without feeling the financial burden of pediatric cancer. We get to provide the magic, all while we continue to pray and hope for miracles, both big and small- bold miracles but also tiny glimmers of miracles in the mundane. We are so honored to walk alongside families from all walks of life and please know while we hope to support as many of you as possible, we will not be able to accept everyone into this program. Please contact info@ouramazingfighters.org with any questions. We look forward to learning about your family through this application.
What program are you applying for?
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Full Christmas Morning Sponsorship -- (All of the gifts for all of the kids)
Partial Christmas Morning Sponsorship -- (Assistance with SOME gifts)
Christmas Cheer Sponsorship -- (Decorations and Holiday Spirit! This could include but is not limited to Holiday Meals, Lights, Trees, Decorations, Ornaments, etc.)
I am unsure and would like to talk to a representative at Our Amazing Fighters
Parent's Name
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First Name
Last Name
Parent's Email
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example@example.com
Parent's Phone Number
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Please enter a valid phone number.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Social Worker's Name
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First Name
Last Name
Social Worker's Email
example@example.com
Social Worker's Phone Number
Please enter a valid phone number.
Social Worker Disclosure
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Medical Information Release: By checking the box below, I give permission for my medical professionals to share information pertinent to my child's support as needed with Our Amazing Fighters. All information received will be kept confidential and your information will never be shared with third parties.
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Family Information
How many kids are in your family?
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Age of Child 1
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Age of Child 2
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Age of Child 3
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Age of Child 4
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Age of Child 5
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Age of Child 6
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How many people are we supporting in total?
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Please include adults and children
Are you applying to any other Holiday Programs, Christmas Projects, or Gift Sponsorships via your hospital or another foundation/ organization?
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Yes
No
If so, through who?
Please provide us an overview of your journey so far. Please include any pertinent information about your diagnosis, treatment, and current status including your family as a whole. The more information you can provide, the better.
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What are your financial needs? Have you had any setbacks? Please be descriptive.
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Please select the most applicable
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On active treatment
On long term/maintenance clinical trial, but off active treatment
Off treatment (0-2 years)
Off treatment (3+ years)
Bereaved Family
Child on Treatment's Name
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First Name
Last Name
Child on Treatment's Date of Birth
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Month
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Day
Year
Date
Child on Treatment's Diagnosis
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Child on Treatment's Treating Hospital
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Current Status/ How Your Child is Currently doing...
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Anything else you'd like us to know? Do you have any questions for our team?
Do you have a place where you give updates on your child? Please link them below... We use this to not only verify information, but support you all even after Magic and Miracles concludes!
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This can be a parental or child’s social media- meaning your personal facebook page, a public group or page, caring bridge, gofundme, instagram profile, etc.
To our Bereaved Families,
We are so incredibly sorry for your loss. Our Amazing Fighters is committed to serving our families from all walks of their journey so please know that we are always here for you all. To better understand and assist you all, we need to ask some questions, please take your time and allow for space to prioritize your mental health.
Your Cancer Angel's Name
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First Name
Last Name
Cancer Angel's Date of Birth
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Month
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Day
Year
Date
Diagnosis
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Treatment Hospital
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When did your child pass away?
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Anything else you would like us to know?
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Closing Remarks
Our team and the "Magic and Miracles" committee will be reviewing each of the applications and will be in touch with you in the coming days as we accept families into the program. Please know that while we would love to accommodate everyone, our ability to do so is very limited. Priority will be given to Virginia residents. Please check your email for further communications. If you have any questions or concerns, please contact the Our Amazing Fighters team at info@ouramazingfighters.org.
Before clicking submit, please acknowledge that you have read the statement above and the information you provided through this form is true and correct.
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Yes, the information is correct to the best of my knowledge.
Submit
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