U.S. Only. This form is subject to validation. Packages may take up to four weeks to ship. We reserve the right to refuse to fulfill your application if you appear suspicious of completing a fraudulent application form. All applications are reviewed and we do our due diligence when deciding if an applicant is eligible for a care package or not.

Care package availability is dependent upon operating funds and donations.

Care Package Application Form

First Name

Last Name

Recipient's Age

Customizations, interests, any items to exclude, etc.

Link to your social media page(s) (THIS IS REQUIRED-used to verify legitimacy)

Gender

How did you hear about Abby's Hope Project? If from a friend, what's their name?

What is your diagnois? This information will be kept private and stays between you and our applicant reviwer; it is simply used as a screening tool to ensure that you meet our criteria

I have read the criteria for the care package program View criteria

We ask that all care package applicants submit a photo of themselves or their family, as well as a short testimony. After you receive your package, your photo and testimony will be shared on our social media and website to promote our program and share our impact.

Upload Photo

Please use complete sentences for the following questions. Your answers need to be longer than just a few words.

What does our mission mean to you?

As a care package recipent, what impact will AHP have on you or your family?

Street Address

City

State

Postal / Zip code

Country

Thanks for submitting!