Hope Tote Request Form

Whether you are a cancer parent or know a family being treated for childhood cancer, please fill out this form and we will send the family a hope tote.

Cancer Parent Hope Tote Request

This is for cancer parents to request a Hope Tote and friends who would like to send a Hope Tote to a family recently diagnosed with childhood cancer.
  • Please add the address of the family or the person receiving the bag on behalf of the family.
  • This information is only used to decide which of the 3 different cancer books are needed in the Hope Tote. (Solid Tumors, Brain and Spinal Cord Tumors, or Leukemias)