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Request an Art Kit
We currently only supply art kits to children battling cancer. Please only submit this form if you are a parent, legal guardian or social worker for the child!
Request an Art Kit HERE!
Your Name: First/Last
Email
How old is your child?
Choose an option
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Child's First Name
What is your child's diagnosis?
Your Relation to the child?
Anything special we should know? Child's favorite colors, or characters?
Where can we send the kit?
Street Address
City
Postal / Zip code
Street Address Line 2
Region/State/Province
Country
Country
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Can we share your child's story on our social media?
Yes- Please send us an email of their story & a photo of them receiving their art kit to jocelynslegacy@gmail.com
No
Send
Thanks for submitting a request!
We’ll contact you if we have any questions.
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