Nominate a kid

Nominate a kid

Leia’s Kids mission is to spread hope and directly donate to families actively battling childhood cancer. Please submit this form, filled out, as a nomination to receive a donation on behalf of The Leia’s Kids Foundation.

*Please note that you will be notified when your family is next to receive a donation and party. Due to a high volume of applications please know we will do our best to assist you. Thank you!

    Child Information

    Does the child have siblings?
    YesNo

    Is the child actively receiving treatment?
    YesNo

    Can the child be around groups of people?
    YesNo

    Parent’s Information

    Does the family live in the US?
    YesNo