Nominate a Child Parent/Guardian for DreamCatchers for Kids™

Parent/Guardian: NOMINATE-A-CHILD NOW

Do you know a child whose dream you want to help make a reality?

STEP 1

Nominate a child for DreamCatchers for Kids^TM by filling out the pre-qualification form below, than the forms below.

Information on Child
Child's Gender*
- Male
- Female
Child's Date of Birth*
MM slash DD slash YYYY
Childs Name*
First Last
Child's Diagnosis*
Parent(s)/Legal Guardian(s) Information
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Family's Estimated Annual Household Income
Referring Party Information
Relationship to Child*
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone Number
Email
Tell us about your child and why You Are making this DreamCatchers for Kids?*
Complete & Upload the required forms listed below*
Drop files here or

Max. file size: 50 MB.
HIPPA & Monthly Medical Expenses-Fillable Form (PDF)
A Signed Letter from your primary physician with the diagnosis.

Questions, please e-mail The Hope Foundation at info@hopemv.org.

Help make dreams come true!

DreamCatchers for Kids fulfills the dreams of children with chronic and terminal illnesses through charitable donations. You can help us continue our mission by clicking the Donate Now button or by mailing a check made payable to The Hope Foundation of the Mahoning Valley.

DreamCatchers for Kids Application (PDF)