Apply for a Doll 2025

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At Glimmer of Hope, we believe every child battling cancer deserves to feel brave, beautiful, and seen. Our custom bald dolls are designed to reflect the strength and courage of children going through treatment — reminding them they are never alone.

This form is for families, caregivers, or medical professionals to request a bald doll for a child currently in treatment, in remission, or facing long-term effects of cancer.

To ensure each doll reaches a verified child in need, we require:

Contact information for the medical professional

Please complete all required sections and submit your application. Once we receive the verification letter, we will process and ship your child’s doll.

Thank you for allowing us to bring a glimmer of hope to your family.

Child's Full Name *

Child's Age *

Child's Diagnosis *

Current Treatment Status *

In Treatment

In Remission (no more than 6 months)

Hospital or Treatment Center *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Mailing Address (for doll delivery) *

Social Worker Full Name *

Social Worker Email *

LINK to Parent/Child Social Media (This MUST be a LINK to a verifiable social media page (Instagram, Facebook and/or Caringbridge This MUST be completed in order to send a doll for verification purposes.) *

Gender of Doll *

Girl

Boy (They do NOT make bald boy dolls- this will come with hair)

Girl doll with boy clothes (we can send a bald "girl" doll with boy clothes so they can dress it as a boy)

Doll Choice *

Bald Doll: White skin tone, Blue Eyes

Bald Doll: Tan skin tone, Brown Eyes

Bald Doll: White skin tone, Brown Eyes

Bald Doll: Dark skin tone, Brown Eyes

Doll with Hair (mention hair color, length, style and eye color in comments)

Child’s Story (Diagnosis, Treatment, How they’re doing now, 2-3 paragraphs) *

Photo and Story Consent *

Yes, I give consent (You must send a photo as this is for our 24 Days of Dolls Campaign. If you would not like to send a photo, please come back and apply February 1st)

Required

SMS and Email Opt In *

By checking the box, I give permission to be contacted about Glimmer of Hope Foundation by SMS text at my residential or cellular number or provided email address, dialed manually or by autodialer (consent to be contacted is not a condition to participate) and to be contacted via email. I consent to be contacted even if my phone number or email address appears on a Glimmer of Hope Foundation Do Not Call / Do Not Email List, a State or National Do Not Call Registry, or any other Do Not Contact List. We need to contact you via email or phone to confirm tracking/receipt of your child's doll.We need to contact you via email or phone to confirm tracking/receipt of your child's doll.

Required

Consent and Confirmation (All Boxes must be checked) *

I confirm that all information provided is accurate

I understand a letter from a medical professional is required for eligibility

I give permission for Glimmer of Hope to contact my child's social worker or medical provider to verify diagnosis

Required

How did you hear about us? *

Instagram

Facebook

Medical Contact

Friend/Family Member

Another Foundation

Search Engine

News Article

Required

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