COMFORT KITS

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Comfort Kits consist of our essential Rooms to Thrive™ items for families affected by childhood cancer who want to lessen their toxic load from harmful chemicals in their environment. Our Comfort Kits contribute to the quality of life and thrivorship of patients and survivors. Our kits are designed to initiate and empower families to live a lifestyle of change and sustainability during and after cancer treatment.

TERMS + CONDITONS 

+ Child currently in cancer treatment or within 5 years post cancer treatment

+ Complete Comfort Kit Questionnaire (see below)

+ Family MUST attend an online or in-person HEAL + THRIVE Session: Comfort Kit Event

+ Application subject to review and approval by the Carsyn Neille Board

PLEASE NOTE: We limit one (1) kit per family. Requests will be based on funding availability. Only cost required is for shipping. Currently available for US shipping only.

COMFORT KIT QUESTIONNAIRE

Thank you for your interest in our exclusive Comfort Kit. We want to help support you and your family through your cancer journey. Please fill out the form below to apply for our free Comfort kit.

Please note: We limit one (1) kit per family. Requests will be based on funding availability. 

All sections must be completed to receive full consideration. Parent/Legal Guardian must fill out this form. 

Parent/ Legal Guardian's Name *
Parent/ Legal Guardian's Name
Child's Full Name *
Child's Full Name
Is your child currently in treatment? *
Oncologist Phone Number
Oncologist Phone Number
Current Address (if different from referral form)
Current Address (if different from referral form)
Survey *
Survey
We currently live a sustainable and green lifestyle.
It's important that my family lives in a toxic free environment.
I am always looking for new ways to improve our clean living lifestyle.
I believe in balance.
We eat organic foods.
We use essential oils.
We exercise daily.
We love listening to loud music often.
We have a TV in my child's bedroom.
My child eats in his/her room.
My child reads in his/her room.
Has the child ever had a wish granted or been considered by any wish granting organization? *
Has the family applied for, been considered for or received a room renovation from any other organizations? *
Facebook
Instagram:
YouTube:
Pinterest
(Child's Name)
Current Bed Size *
Please send 2-5 of your favorite pictures of your child/family and space you'd like transformed to info@CarsynNeilleFoundation.org *
CHILD RACE/ETHNICITY
The following information if OPTIONAL and will be used for STATISTICAL PURPOSES ONLY. The response should be provided by the child or his or her parent(s)/guardian(s) if they choose to do so. Please select one or more of the choices as appropriate.

 

LET’S GET YOUR FREE COMFORT KIT SHIPPED

Our Comfort Kits consist of our essential Rooms to Thrive™ items for families affected by childhood cancer who want to lessen their toxic load from harmful chemicals in their environment. Our Comfort Kits contribute to the quality of life and thrivorship of patients and survivors. Our kits are designed to initiate and empower families to live a lifestyle of change and sustainability during and after cancer treatment.

Please note: We limit one (1) kit per family. Requests will be based on funding availability. 

Only cost required is for shipping. 

Currently available for US shipping only.



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