Kelly's Angels Fun Grant Application

Kelly’s Angels aims to restore fun and laughter to the lives of children who have lost a parent or sibling to cancer, or are currently battling life-threatening illness, by providing grants for the activity of the child’s choosing. We invite children, with the help of a parent or guardian, counselor, etc. to fill out this brief application. Kelly’s Angels will contact you to let you know how we might be able to help.

About Kelly's Angels, Inc.:

The I.R.S. says we’re a 501 (c)(3) charity. We say we help kids who could really use a lift. Our goal is to bring a little joy and laughter to area children. We accomplish our goal by giving fun grants of up to $500 to pay for a fun activity of the child’s choice. Think baseball game, bouncy house party, a family trip, or a day at an amusement park, whatever the child’s heart desires, we’re here to help.

Child's Name*

Age*

Birth Date*

School Grade

What school is the child attending?

Sex Female Male

Parent/Legal Guardian:

Your Relationship to the child

Address

Parent/Legal Guardian's home phone

Parent/Legal Guardian's work phone

Parent/Legal Guardian's cell phone

Best Time to call

Parent/Legal Guardian's email address

Have you previously applied for a Fun Grant? Yes No

Are there other children applying? Yes No

Details of additional child 1

Child's Name

Age

Birth Date

School Grade

What school is the child attending?

Sex Female Male

Add Another child

Name of loved one who passed or is ill?

What is your loved one's relationship to the child/children on this application?

When did your loved one pass?

Please provide a link to your loved one's obituary...*

...or attach one here.

What is your Fun Grant wish?
(Kelly's Angels, Inc. will provide the qualifying applicant with up to a $500.00 Fun Grant to be used for the wish outlined).

Is there anything else you'd like us to know about the child and the person who is ill or passed away?

Photographic Release Consent Form

We ask that you send us some photos of your adventure so that we can show other children and families how fun a Fun Grant can be. Please send photos to [email protected]

Date

Name of child(ren)

Name of parent

I hereby give my permission for Kelly's Angels, Inc. to use my photograph/video in any publication or other marketing materials prepared for Kelly's Angels, Inc. I understand that this permission is granted without any expectation of compensation.