Refer a Child 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! Name* First Last PhoneEmail* Share Your Story PhoneThis field is for validation purposes and should be left unchanged.