SKF APP

Application: Nominate a Child for a Gift
Hello and thank you for your interest in receiving a special gift from Scarlet's Kids Foundation Inc.

1. Fill out the app to the best of your ability. Please include a short explanation of your child's diagnosis.

2. We may contact you for more info. (Most likely through Facebook or text message)

3. Please send us a photo of your child opening or enjoying their gift so we can create a collage and post to our site.
Have you applied to our program before?*

This is my first time applying for a giftingI have applied before but need another gifting
Full Name of Child:*
Sex:*

MaleFemale
Date of Birth:*
Child's Age*
Parents FULL Names:*
Names & Ages of siblings at home if requesting sibling support:
Child's Diagnosis & Dates Diagnosed:
Are you Admitted to the hospital? How long have you been admitted and where? What happened? Your answer will be used to help explain your child's story when we post their photos.
If Currently Admitted: Unit & Room Number
If Currently Admitted: How long is your stay planned for?
If not Admitted, is your child medically complex? Please explain. Your answer will be used to help explain your child's story when we post their photos.
What is your child interested in?
What size t-shirt, pants does your child wear in case we include clothing.
Provide the Links to SOCIAL MEDIA - FB, IG, TikTok (if any):
Parent's Facebook / FB Messenger Account Name (Used as a main casual contact point.)
Your E-mail Address:
Phone Number:*

Area CodePhone Number
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you know of anyone whom you can refer us to? Please provide name and contact information;
Comments:
Which program are you applying for?*

Gift Drop-off at Hospital (Planned Admission)Gift Drop-off at Hospital (Emergency Admit)Mom Care Kit for Unplanned Admit (Deodorant, Toothbrush, Etc.)Superhero Themed Gifting (Best suited for first time giftings)Gift Mailed Home (Will be mailed when paired with a sponsor)Sibling Support Gift (Mailed Home or Paired w/ any above)Easter Gift Basket (Can be mailed or dropped-off)Halloween Gift Basket (Can be mailed or dropped-off)Christmas Relief (Toy Drive Assistance Request)Memorial Necklace (Only available for parents of SKF kids)MTHFR Gene Test RequestNICU Gift Package (hospital or home)Other
Please check the boxes below: Please note that leaving a box unchecked may result in denial of your application. *

I give Scarlet's Kids permission to share my child's story, photos, and fundraising link for promotional purposes.I promise to send/tag Scarlet's Kids in photo's of my child enjoying their gift for posting on social media with their story.
Signature

Clear
Please type your Name here *
Relationship to child
If you have any questions you can email Scarletskids@gmail.com

"We would like to thank you for your application and invite you to reach out to us on social media. Thank you for nominating this amazing child and have a great day"

- Barbara & Scarlet
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Application: Nominate a Child for a Gift