Silly Lily Children's Book Request

Silly Lily is a non-profit organization with a core mission centered around providing specialized children's literature tailored to resonate with chronically ill children, focusing on themes such as resilience, emotional management, and self-esteem. Our primary objective is to distribute Silly Lily books free of charge to children and families, channeling them through Children's Hospitals, educational institutions, and directly to the recipients' homes.

If you, a child you know, or someone you are acquainted with would find value in a "Silly Lily" book, kindly fill out this form. Provide details about the child's age, any chronic illness or specific restrictions they may have, and any additional pertinent information you wish to share. Upon receiving your request, we will review it and respond with the most suitable way to provide a donated Silly Lily story. We sincerely hope that the recipient cherishes the book as much as we do! :)

Name of the Recipient/Child

First Name

Last Name

Email

Phone

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Preferred contact method

Email

Phone

Your relationship with the recipient/child

Examples: Self, Parent/Caregiver, Teacher, Hospital

Does the recipient/child have any restrictions?

Examples: Feeding Tube, Wheelchair, Port, Piccline, Missing limb, Nonverbal, Bald

Message

Please give a brief explanation. Examples: ~ "My child, Madison Holden, is sick due to a rare chronic illness called MALS. I believe Madison would love a Silly Lily book." ~ "I am a second grade teacher and I would love to have a Silly Lily book to practice inclusion and awareness of disabilities and differences." ~ "I am a Child Life Specialist at Hasbro Children's Hospital and work closely with chronically ill children and families who would benefit from Silly Lily books.

Address of recipient/child

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Silly Lily Children's Book Request

Silly Lily Foundation