Contact Us

We look forward to hearing from you & will get back to you as soon as possible! ♡

Website: sillylilyfoundation.org

Email: sillylilyfoundation@gmail.com

Instagram: @sillylilyfoundation

Facebook: Silly Lily Foundation

TikTok: silly.lily.foundation

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Service

Your Name(Required)

First Last

Email(Required)

Phone(Required)

Business Name/Organization(Required)

Sponsorship Type(Required)

Financial Donation

In-Kind Donation (products, services, or goods)

Event Sponsorship

Monthly or Annual Sponsorship

Other

How you would like to support our mission

Timeline for partnership

Additional Notes

Untitled

Let's Get Started

What is Your Relationship with the Recipient(Required)

Your Role(Required)

Parent/Guardian

Teacher/School Staff

Hospital/Healthcare Provider

Recipient Organization/School/Hospital Name

Teacher/Child Life Specialist/Contact (if applicable)

...And Now Tell Us a Little About the Recipient

Recipient’s Name(Required)

First Last

Recipient Date of Birth(Required)

MM slash DD slash YYYY

Age of the Recipient(Required)

Recipient's Email(Required)

Please double check that your email is typed correctly as we will contact you with any questions.

Recipient's Phone Number(Required)

Recipient/Shipping Address(Required)

Street Address Address Line 2 City/Town/Locality State/Province/Region Postal/Zip Code Country

Please triple-check that your address is entered correctly to ensure you receive your package.

Special delivery instructions

Medical Information

If you can, please share some information about recipients story or diagnosis

What is the recipients diagnosis/story?(Required)

Current Medical Status

Receiving Treatment

Stable

Awaiting Surgery

Post-surgical

Other

Check all that apply:

The Recipient has a Port

The Recipient has a Feeding Tube

Does the recipient have a feeding tube, what kind is it? (Ex: G, GJ, NG, NJ)

Request Details

Please tell us a little more about the recipient

What is the recipients wish? Please give us as much detail as possible!(Required)

Who is this wish for?(Required)

My Child

Myself

Another Family Member

A Patient I Support

Has the recipient had a wish granted in the past with another organization?(Required)

Yes

Why is this wish meaningful?(Required)

Preferred timeline

Estimated cost (if known)

Physician/Medical Provider

Hospital/Clinic Name

What hobbies does your child/teen cherish the most?(Required)

Do they have a favorite color, animal, craft, or something specific they've been longing for? The more details you provide, the better we can ensure they receive a gift they'll truly adore!

Which book(s) would you like?(Required)

Silly Lily and Her Feeding Tube

Silly Lily and Her Port

Who is this book for?(Required)

My Child

Myself

Student

Patient

Hospital or Clinic

Classroom

Other

Would you like the book signed?

Yes

Anything else you would like us to know?

If we receive your approval, may we share the care package and any photos you provide on our social media? If so, could you please provide your social media handles?

Tell Us a Little About Yourself

Date of Birth(Required)

MM slash DD slash YYYY

Where do you live? (City & State only)(Required)

What is your social media handle?(Required)

If currently in High School, where do you attend?

If currently in College, where do you attend?

If you are in college, what is your degree in?

What year are you in school?(Required)

Have you ever worked with children? If so, explain.

Have you ever worked or volunteered with a nonprofit? If so, explain.(Required)

Has chronic-illness impacted your life in any way? If so, explain.

Do you have experience with Canva / graphic design?

Yes

Willing to Learn

Do you have experience with editing videos / YouTube?

Yes

Willing to Learn

Can you attend virtual bi-weekly team meetings?(Required)

Virtual Only

In-person Only

Virtual and In-person

Cannot Attend

What interests you in/How would you like to be a part of the Silly Lily Foundation?(Required)

How did you hear about The Silly Lily Foundation?(Required)

Anything else you'd like to add? :)

What areas of volunteering are you interested in? Please check all that interest you!(Required)

Party Planning

Packaging and Shipping

Helping in the office

Attending Networking Events

Volunteering at Events

Writing thank you cards and newsletters

Fundraising

Other (Please describe below)

Please describe

Skills & Experience

Accountant

Photographer

Video Editor

Stay-at-home Parent

Lawyer

Fundraising Board Member

Printing Company

Elementary Schools/Clubs

Nurse/Child Life Specialist/Doctor/Social Worker

Social Media Manager

Artist

Office Manager

Marketing

Other (Specify)

Please Specify

Do you have any questions or concerns?

Consent

Consent(Required)

I agree

I confirm that the information provided above is accurate and complete to the best of my knowledge. I understand that the Silly Lily Foundation will use this information to process my request in accordance with their Privacy Policy.

Consent(Required)

I agree

I give my permission for the Silly Lily Foundation and/or its representatives to use artwork, photographs and/or letters/the story that I provide of my child, my family, and/or myself in publications, slides, videotapes, motion pictures and/or on the Internet. In addition, I hereby give my permission for the Silly Lily Foundation and/or its representatives to photograph, audio tape record, and/or videotape my child or myself and to use our names, these images or voice recordings in publications, slides, videotapes, motion pictures and/or on the internet. I understand these visual images or voice recordings may be used to inform families, volunteers, donors, the media and general public about the Silly Lily Foundation programs, services or events. I gladly give this authorization to support the efforts of the Silly Lily Foundation. I understand this authorization shall continue until terminated in writing. Providing consent is not a requirement in order to participate in the Silly Lily Foundation programs.

Consent to be Contacted(Required)

I agree

I give permission to be contacted about the Silly Lily Foundation by SMS text at my residential or cellular number or provided email address, dialed manually or by autodialer (consent to be contacted is not a condition to participate) and to be contacted via email. I consent to be contacted even if my phone number or email address appears on the Silly Lily Foundation's Do Not Call / Do Not Email List, a State or National Do Not Call Registry, or any other Do Not Contact List.

Contact Us

Let's Get Started

...And Now Tell Us a Little About the Recipient

Medical Information

Request Details

Tell Us a Little About Yourself

Consent

Care Package Applications Are Temporarily Paused

Our First-Ever Silly Lily Retreat