Nevaeh's Rae of Hope Trip Application Inquiry
If you or someone you know is interested in applying for a Nevaeh's Rae of Hope trip, please fill out the inquiry form below.
Name of Individual Inquiring
First Name
Last Name
Name of Family Seeking an Application Form
First Name
Last Name
Name of Deceased Child
First Name
Last Name
Check the following box to confirm the family meets the qualifications listed under the "Who is Eligible?" section of our Apply page.
Confirmed
Please ensure the following information applies to the family seeking the application form.
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Could you please provide us with information regarding the circumstances surronding your child's passing?
Please note: Due to funding limitations, we regret that we are unable to accomodate every application and/or inquiry. Submission of an application and/or inquiry does not guarantee approval for a trip. We will ensure to promptly inform the family of the approval status of their application, maintaining clear communication and transparency throughout the process.
Submit
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