Financial Assistance Application
This Star Won’t Go Out’s mission is to assist families in financial hardship with a child diagnosed with cancer.  Requests for financial assistance begin by completing this form.

Due to the small size of our foundation, we must currently give preference to families located in or receiving medical care in the New England area (Maine, Vermont, New Hampshire, Massachusetts, Connecticut and Rhode Island).
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Before continuing, please select that you live in or receiving medical care in the New England area (Maine, Vermont, New Hampshire, Massachusetts, Connecticut and Rhode Island). *
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