Request a CourageousComfort Box Box Type * Please select the type of box you are requesting: Comfort Box (child is in active treatment) Grief Support Comfort Box Your Name * Full name of parent or guardian requesting the box First Name Last Name Your Email Address * So we can reach out if needed Shipping Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Your Child's Name and Date of Birth Optional for personalization For Comfort Boxes * If requesting a comfort box while your child is in treatment, please tell us: -Date of diagnosis -Type of cancer -Treatment center (hospital name & location) For Grief Support Comfort Boxes * If requesting a grief support box, please share whatever you feel comfortable telling us: -Your child's date of passing -Type of cancer -Anything you'd like us to know Who is this box for? * Select all that apply The child in treatment Parent(s)/Guardian(s) Siblings (include ages below) Other (please explain) Sibling Ages Optional to tailor sibling comfort items Anything else you'd like to share? Feel free to share anything else you'd like us to know here Verification Note * These boxes are lovingly created and intended only for families currently facing childhood cancer or grieving a child lost to it. Please honor the integrity of this program by only requesting a box if either is true for you and your family. I confirm Thank you for your request.We’ve received your submission and we are honored to walk beside your family. If you requested a Comfort Box, we know this road isn’t easy. We’ll begin prepping a box to send some light, love, and support your way.If you requested a Grief Support Comfort Box, please know we are holding your heart with tenderness. Your child’s life matters deeply, and this small gesture comes with care that stretches far beyond the box itself. We extend our sincere condolences and want you to know that we are here for you during this time.If we have any questions or need further details, we will reach out via the email address you provided.Each Comfort Box is fulfilled in the order it’s received — thank you for your understanding as we care for every family.
