Pitch Your Charity

Child's Name, Age, & Gender *

Nominate a Child

Please share additional details about the family here, if applicable: *

What is this child most passionate about? *

Names of Mother/Father/Guardians

Does he/she have a specific Christmas (or Hanukkah) wish? If so, please describe. *

Your Email: *

Parents/Guardian Contact Number *

Are there any special needs, restrictions, or limitations? Can this child travel?

When completing your submission, providing detail is very helpful in determining if we can help. Keep in mind we receive dozens of submissions every holiday season. Filling this form out does not guarantee The Believe Project's assistance, but we certainly do our best to help as many as we can.

Their Story & Diagnosis (please explain in detail) *

Address

Your Phone *

Does this child have siblings? If so, name(s), gender(s) & age(s)? *