Written by a parent, not a doctor. Nothing here is medical advice.

Childhood Cancer Lantern
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The Ashley Lauren Foundation

Material Support

What you get

Practical items chosen for your child and household. The items available aren't published. Ask. Open now.

Who starts it
You
How it’s sent
Online, on their website
Your time
An hour or so
Last checked
Aug 27, 2026

Before you start, check you fit

  • Read media/publicity consent before submitting child information.
  • Review media/publicity consent before submitting child information.

  1. What their form asksA preview, so you can gather things first. Fill it in on their site.

    Open their application ↗ Checked Aug 27, 2026

    What the form asks for

    Child and family information
    Child's Full NameChild's Date of BirthChild's DiagnosisDate of DiagnosisChild's AgeGenderAddressTown & Zip CodeCounty (New Jersey only)Best Contact Phone NumberBest Contact EmailMother's NameFather's NameSibling# 1 Name/Birthday/AgeSibling #2 Name/Birthday/AgeSibling #3 Name/Birthday/AgeSibling #4 Name/Birthday/AgeReferred By (Name & Phone)
    Treatment and care-team information
    Hospital/Treatment CenterPrimary Oncologist Name (email/phone)Social Worker Name (primary email/phone)Is your child currently on or off treatmentRecommended Course of Treatment & Estimated Time FrameCurrent Medical Condition
    Household background
    Father's Employer NameFather's OccupationMother's Employer NameMother's OccupationDoes anyone else live in the homePrimary LanguageEthnicityReligionPrimary Medical Insurance
    Needs assessment and other assistance
    Any financial concerns you haveConcrete needs for child & FamilyOther needsAny other agencies/foundations that have you have reached out to? Please also list any crowd-funding sites and meal trains that have been started as wellOne of the services provided by The Ashley Lauren Foundation is remembering the child on their birthdays and holidays with gifts. Please indicate, in your estimation, whether or not the family would be comfortable with this service. Please add any additional comments that would be helpful to us
    Photograph, video, and biographical-information permission
    I, ______________________________ hereby give permission for The Ashley Lauren Foundation to use photographs, video and biographical information of my child and my family including The Ashley Lauren Foundation website and brochures in its efforts to raise funds, assist children with cancer and develop community awareness. I waive and surrender any and all rights that we may have in any profit royalties or income that The Ashley Lauren Foundation may realize by use of such photographs, video and information. I understand that our involvement with The Ashley Lauren Foundation may also mean that we are present at an event where photographs and video are taken. If you approve, please type your name below

After you send

The form does not publish a decision timeline or receipt-confirmation process; use the foundation's published phone or email for questions. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published