Fun & Friendship Application

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KiDS NEED MoRE will bring fun and friendship to your family. Our mission is to alleviate the trauma that children and families face when they experience illness, loss and other grown-up stuff that interrupts childhood.

Eligibility will be determined on a case by case basis for families with Infants to age 21 - we want to help you and your family have fun, engage with friends, and create happy childhood memories

Contact us at 631-608-3135 or info@kidsneedmore.org / Learn MoRE about us at kidsnneedmore.org

Email *

Our Programs and services

Saddle Rock Ranch Day Camp

Camp Adventure

Holiday Cheer Bus

Hope for Johnathon Friendly Visits

Virtual Camp

Support Groups and Supportive Counseling

Parent/Guardian Name *

If you are applying on the behalf of someone else, please provide your name and details about your relationship to the family.

Email *

Cell Phone Number *

Home Address

City

State

Zipcode *

Referral Source - How did you hear about us?

Military - Is there a member of the immediate family who has served in the US Military?

Yes, Active Duty

Yes, Non-Active

Other:

Clear selection

Ethnicity

Black or African American

Hispanic or Latino

White

Native American or American Indian

Asian / Pacific Islander

Prefer not to say

Other:

Clear selection

Preferred Language (We will use gooogle Translate)

English

Spanish

Polish

ASL

French/Creole

Hindi

Urdu

Other:

Clear selection

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