Hunt For The Cure - Application
PLEASE READ ALL NOTES/INSTRUCTIONS

There are 11 Sections that make up this form. All sections must be completed in order for us to approve your loved one for our program. Please complete them all. If you experience trouble completing all the information, contact us via Facebook.com/texashuntforthecure.

Please forward a note from your child's doctor and a picture of the applicant, for our files, via email to traci@texashuntforthecure.org

Please make sure to use proper spelling/capitalization on every response.
Applicant Name *
Please enter your child's FIRST and LAST name.
Your answer
DOB *
MM
/
DD
/
YYYY
Age *
Your answer
Male/Female *
Diagnosis *
Your answer
Is this a RUSH dream? *
Height *
Your answer
Weight *
Your answer
Eye Color *
Your answer
Hair Color *
Your answer
T-shirt Size *
How did you hear about Hunt For The Cure *
Your answer
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