Refer a Child

LFL 2014 Child Referral Request

Lights for Life is dedicated to helping Children with Cancer and their Families

If you have a child under 21 years old that has been diagnosed with cancer, please complete the following information to be considered as a recipient family.

If you know a family that has a child with cancer, please tell them about Lights for Life and have them complete this application if they are interested in being a part of the Lights for Life family.

Remember! Your referral can help a child with cancer!

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