Do you know a child battling a life-threatening illness or injury that would enjoy an evening out on the town? A family that could use a break? Are you this family?
Hopes Haven hosts a variety of special events and VIP events and would like to add you to our special invitation list. If your family would like to be considered for an upcoming event, please provide us background on his / her interest.
Nomination Form
Child's Name
Child's Age:
Interests:
Child's Diagnosis:
Attending Physician:
Social Worker
Family Contact / Name:
Family Contact / Phone:
Family Contact / Email:
City of Residence:
Nomination Submitted by:
Spanish Speaking Only?
Additional Information?
As opportunities become available we will reach out to families whose interests match upcoming events.