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 life-saving medical treatment &/or hospitalized in the Edmonton, AB area

Please fill out the following:

How did you hear about iKare4Kids? *
Is your child currently hospitalized or receiving life-saving medical treatment? *
Please provide a professional advocate (medical staff, social worker, child life specialist, etc.) as a reference to verify the information within this application, including the financial requirement.
The parent/legal guardian gives consent for the professional advocate to speak with iKare4Kids? *
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Thank you for your application. If you have not heard from our Team within a week, please email [email protected]
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