Card Launch Recipient Application

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Operation Surprise Attack is a 501(c)(3) organization that collaborates with individual, community, and corporate partners to send cards and gifts to kids experiencing severe or rare health challenges to encourage them on their health journey. Whenever possible, we help relieve some of the financial burden our OSA families endure.

Note to all applicants: All card launch recipients are chosen at the sole and complete discretion of the OSA Board.

Email *

We are currently accepting applications for Northwest Ohio and Southeast Michigan. The highlighted counties are the areas we serve.

Applicant's Name (First, Middle, Last) *

Applicant's Birthdate *

YYYY

Email Address *

Phone Number *

Street Address *

Apt/Suite #

City *

State *

Zip Code

Applicant Grade Level *

Applicant Current School *

Applicant Special Interests or Hobbies *

Applicant Diagnosis *

Date of Diagnosis *

YYYY

Is Applicant Currently in Treatment? *

Yes

If yes, please describe.

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