Application

Any information you provide, will not be utilized for any other purpose and is strictly confidential.
Qualifications to apply for the program are as follows:
• Child is under 18 years of age
• There is a serious injury/disability/illness
• Child lives in Canada
• Family is in financial need for this electronic device
• The child is receiving medical treatment &/or hospitalized in the Edmonton, AB area

Please fill out the following:

How did you hear about iKare4Kids?
Are you filling out this application on behalf of the family? *

If yes, please provide the following information:

Are you registered at Ronald McDonald House Charities? (you do not have to be registered to apply for the program) *
Is your child currently hospitalized or receiving treatment? *

Please provide a professional advocate (medical staff, social worker, teacher, etc.) as a reference who is familiar with your situation and financial requirement:

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Thank you for your application submission. iKare4Kids will be in touch with you in the near future
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