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

Get ready to apply

Kids Beating Cancer

Bunky's Pals Patient and Family Support

What you get

A Snuggle Box and ongoing help for your child. Ask whether requests are open.

Who starts it
You
How it’s sent
Online, on their website
Your time
About 30 minutes
Last checked
Aug 27, 2026
  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

    About Your Child
    Full NameGenderBirthdayDiagnosisDate DiagnosedTreatment Start DateTreatment End DatePrimary PhysicianPrimary HospitalFavorite ColorFavorite Things to DoFavorite Character or Sports TeamT-Shirt Size
    About the Parent/Guardian
    Parent/Guardian's NameParent/Guardian's Email AddressParent/Guardian's Cell PhoneAddress

After you send

Retain any Jotform confirmation and contact Kids Beating Cancer if no membership follow-up arrives.

Full record, as published