(v.5/2024) 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.

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 means. This gives us a better opportunity to serve more kids with cancer.

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 a photo with us or at least letting us know the package was received, please do not request one.

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

Provide your FULL Address. Please type it as if addressing mail through the USPS.

This will expedite the process.

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.

Please list below your child's favorite colors. The more information the better as I try to use one of their favorites.

Favorite Colors*

.

Please list below your child's favoite things: (Vidoe Games, Cartoons, Sports Teams, TV Shows, TV characters, Movies, Animals, Toys, Places etc)

The more information the better, as I try to use one of their favorites.

Child's Favorite Things: *

.

How did you find out about us?*

Any specific information appreciated (website, FB Group/Page, specific IG, person, etc.)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:

Wrapped in Strength Project is working on a better way to get hooded towels in the hands of kids fighting cancer. 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 receiving a hooded towel.

By submitting this form you agree to all the information on this form. If there are any concerns, please use the space above to let us know.

Thank you.

Wrapped in Strength Project is under fiscal sponsorship of Abby's Legacy Foundation 501(c)(3) EIN#93-2897732.