Please complete the following information and should you have any questions, please email at firstname.lastname@example.org or call 250-382-3135
Children who may be eligible for a Quality of Life may be referred by anyone, including social workers, healthcare professionals, community organizations, relatives, friends or other Quality of Life families. The child's family will always be contacted once a referral is made and before proceeding with the Quality of Life initiative.
To apply, the child must be a resident of Vancouver Island or the Gulf Islands.
Eligibility for a Quality of Life:
• The child is under the age of 19• The child has a life-threatening medical condition supported by a doctor's note• The child is a legal Canadian resident
Help Fill A Dream respects the privacy of our children and their families. All personal and medical information is kept confidential and is not shared without the express written consent of the child's parents or guardians.