Hang Tough Hero Sign-Up
Do you have a Hang Tough Hero? Do you want to be included on all the fun and exciting family events and programs that Hang Tough offers? The form is quick and easy--and then you are in!

We serve any children aged 0-21 that have been diagnosed with a chronic or life-altering illness as well as a special need. Geographically, we serve families in Leon, Gadsden, Jefferson, and Wakulla counties.

Parent or Guardian Information
Name(s)
Your answer
Email Address
Your answer
Mailing Address
Your answer
Phone number
Your answer
Hang Tough Hero Information
Hero's Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Age
Your answer
Diagnosis
Your answer
Date of Diagnosis
MM
/
DD
/
YYYY
T-Shirt Size
Other Information
Sibling Name(s) and Age(s)
Your answer
Would you like to be included in our private Facebook group of Hang Tough Hero parents to receive updates of events and services provided? (You can remove yourself at any time, if you wish!)
Is there anything, in particular, that we can provide for you?
Your answer
Disclosure: Hang Tough Foundation (HTF) does abide by HIPAA policies and only necessary personnel has access to the information on this form and they been HIPAA certified and trained. I understand that HTF will keep my child's diagnosis on file and HTF has a dedication to protect and secure our personal health information.
Thank you! We are excited to have you as part of our Hang Tough Family!
A Family Relations team member will be in contact, via email, with you shortly! If you need anything immediately, you can reach us at familyrelations@hangtoughfoundation.org or 850-702-5583.
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