Membership Update Form

Project Angel Hugs: Membership Update Form

Please fill in the form below. Project Angel Hugs ministers to the emotional needs to children touched by cancer, and their families.
Child's Name*

First NameLast Name
Child's Mailing Address (complete shipping address below if this is a P.O. Box)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Shipping Address (complete ONLY if mailing address is a P.O. Box)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Likes/Dislikes*
Please be specific and provide multiple options. Include hobbies (i.e. painting, make-up, hair/nail care items, knitting, collections, puzzles, reading, board games), specific brands (i.e. Disney, Minecraft, Pokemon, Barbie, Hello Kitty, Paw Patrol), and other details (i.e. WWE, hunting, glitter & sparkles, cars, jewelry, etc.). If your child enjoys reading, please be descriptive in the type of books your child enjoys. **WE DO NOT OFFER GAMES FOR GAMING CONSOLES/SYSTEMS OR GIFT CARDS.
Favorite Candy
Favorite Girl Scout Cookies
Favorite Color
Favorite Sport or Sports' Team(s)
Favorite Animal(s)
Favorite Music Genre
Favorite TV Show(s)
Please check EACH holiday your child would like to receive boxes for.*

Valentine's DayEasterHalloweenChristmasSummerBirthday
Check each site you participate in.

CaringbBridgeCole's PagesFacebookPersonal WebsiteOther
If you chose any of the sites above, please list each one here so we can stay updated on your child's journey.
Please list any siblings (under the age of 18 that live in home), including name, gender and age.
Parent First & Last Name Associated with Email
Parent/Guardian E-mail*
Child is currently*

Warrior in treatment (still undergoing treatment for their illness)Graduate of treatment (completed protocol)
Phone Number

Area CodePhone Number
Should be Empty:

Project Angel Hugs: Membership Update Form