Requests for Support - Gold Star Kids Support Services

Helping the Children of Fallen Heroes

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Request For Financial Support

Fill out the form below to request service for yourself or a family in need of support from Gold Star Kids. Our goal is to make life a little brighter for the children of Gold Star families. We look forward to discussing how we can help you or someone you know.

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Name of Requester *

First

Last

Requester's Email *

Contact Phone Number

Preferred Method of Contact

Email
Phone
Text

Name of Child Needing Services

First

Last

Relationship to Child

Parent
Sibling
Family member
Friend
Other

Request Type

One child
Mulitple children
Family member
Other

Financial Support

One time need
Monthly recurring expenses
Other

Give a brief description of the type of support needed. *

Please list the date, activity, and total number of hours. Each new record goes on a new line.

Provide a quick description of activities in which the children are involved.

If you volunteered at any location more than once, you don't need to repeat contacts. You can list them once.

Terms and Agreement *

I understand and agree to the terms.

In checking the box above, you acknowledge that a service advisor will reach out about your request.

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Gold Star Kids Support Services, LLC is a 501(c)(3) organization. Gifts are deductible to the full extent allowable under IRS regulations.