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
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What their form asksA preview, so you can gather things first. Fill it in on their site.
Open their application ↗ Checked Aug 27, 2026What the form asks for
About Your ChildFull NameGenderBirthdayDiagnosisDate DiagnosedTreatment Start DateTreatment End DatePrimary PhysicianPrimary HospitalFavorite ColorFavorite Things to DoFavorite Character or Sports TeamT-Shirt SizeAbout the Parent/GuardianParent/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.
