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Get Help

If you or someone you love is fighting against childhood cancer, we are here to help. Simply follow the steps below to get started.

Step 1. Fill out the form

Print out the PDF below and fill it out. If you prefer to stay digital, you may download the Word Document (DOCX) instead.

Download (PDF)
Download (DOCX)

Step 2. Send it out

If you printed the form, mail it to the following address:

Childhood Cancer
PO Box 107
Engadine, MI 49827

Otherwise, email it to cc@uplionsserve.org.

Step 3. Receive our help

Thank you for reaching out! We will get back to you as soon as we can.

Childhood Cancer Intake Form preview