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Step 1 of 5 - Child's Information
Thank you for your interest in becoming part of the A Kid Again family. Families can enroll from anywhere, and we are proud to serve families across many communities. We currently do not offer any transportation services or reimbursement. If you do not see a metro area close to you and would like information in the future, please select "no metro area near me" to be added to our mailing list.
Please complete the following application for your child with a life-threatening condition. Once submitted, our Medical Advisory Committee will review and may request some additional information depending on diagnosis information. If you have more than one child who you think would qualify, please notate that on the sibling information portion of the application. Our team may reach out to follow-up with any questions regarding your child(ren)'s diagnosis.
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