Hatch's Hero

Hatch's Hero Enrollment Form

Austin Hatcher Foundation for Pediatric Cancer
Become a Hatch’s Hero!
If you are a child (0-21 years old at diagnosis) with cancer, have a child with cancer, or if you are a sibling of a childhood cancer patient, sign up today to be a Hatch’s Hero!

The experience of childhood cancer goes beyond diagnosis and affects every individual family member differently. All family members need unique solutions to the challenges they face. During and after treatment, the Austin Hatcher Foundation for Pediatric Cancer is here to provide the solutions and walk through every step of your family’s cancer journey.

If your child has gained their angel wings, we would love for you to sign them up as well. Hatch’s Heroes will have many special opportunities for family programs, participating in signature family events and even being a spokesperson for childhood cancer.

Your story is special, and we want to walk alongside you and every member of your family. Ready to be a Hatch’s Hero? Fill out the form below!

Questions? megan@hatcherfoundation.org
I am signing up as a Hatch’s Hero as*

Myself - I am a childhood cancer heroParent - I am a parent hero of a childhood cancer heroSibling - I am a sibling hero of a childhood cancer hero

Your Information
Name*

First NameLast Name
Your relation to the diagnosed child*
Contact Number:*
Format: (000) 000-0000.
E-mail*
example@example.com
Marital Status*
Preferred Language*

EnglishSpanishOther
Are you or your spouse active or retired Military?*

YesNo
Birthdate*

MonthDayYear
Date
T-Shirt Size*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
About the Diagnosed Child
Child's Name*

First NameLast Name
Child's Preferred first name or nickname:*
Gender*
Birthdate*

MonthDayYear
Date
Diagnosis*
Date of Diagnosis*

MonthDayYear
Date
Hospital Treated At*
Child is/has...*
T-Shirt Size
Please upload a photo of your Hatch’s Hero. This photo will be used on their personal Hatch’s Hero page on the Austin Hatcher Foundation website with permission.

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Family Information
Please upload a photo of your Family. This photo will be used on our personal Hatch’s Hero page on the Austin Hatcher Foundation website with permission.

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Hatch's Hero Enrollment Form