Childhood Cancer Support at TNK Children’s Foundation

Are you looking for childhood cancer support? TNK Children’s Foundation has many childhood cancer support programs available. Please fill out the childhood cancer support – family assistance application below and we will review your information and be in touch shortly.

Current Childhood Cancer Support Programs:

  • Prepared meals
  • Groceries and supplies
  • Laundry
  • House cleaning
  • Time with spouse
  • Time with other children
  • Family activities
  • Emotional support

PLEASE COMPLETE FAMILY ASSISTANCE APPLICATION IN FULL

Thank you for applying for help from TNKCF. We know times are stressful and we want to help lighten the load you are carrying. We were not made to walk this journey alone. Just as a house needs a strong foundation to withstand the storms. We know you need a strong foundation of support in a variety of areas. We have a team of volunteers waiting to help in various areas.

Feel free to contact us with any questions you may have at tnkchildrensfoundation@gmail.com or call us 816-377-7020

Important Please Read! * TNK Childrens's Foundation is a charitable organization dependent upon the public for support. You will not be discriminated against or denied aid because of your race, religion, color, national origin, sex or political affiliation. All applications will be reviewed on a case -by-case basis and final determination will be made based upon adherence to guidelines and the availability of funds. The information you provide to us will be held in confidence and used only in appropriate ways consistent with the reasons for which it was provided.
I understandI disagree

Parent/Guardian Information

Full Name (required)

Relationship to child in treatment (required)

Your Birthday

Marital Status
MarriedDivorcedSeparatedWidowedSingle

Parent (2) Full Name (required)

Relationship to child in treatment (required)

Parent (2) Birthday

Preferred Contact Method
Phone CallText MessageEmail

Email (required)

Home Phone (required)

Cell Phone (required)

Present Address (required)






How Did You Hear About Us? (required)

Family Information

Name of child in treatment (required)

Birthday of child in treatment (required)

Diagnoses (required)

Diagnoses Date (required)

From which hospital are you currently receiving treatment (required)
Children’s Mercy Hospital, Kansas City, MO
Kansas University, Kansas City, KS
Other Hospital Not Listed Above:

Ethnic Background for child in treatment and family (required)

Please describe your situation to us, only share what you are comfortable in sharing

How often do you feel you will need assistance (required)

Sibling (1) Name & age in home

Sibling (2) Name & age in home

Sibling (3) Name & age in home

Sibling (4) Name & age in home

Sibling (5) Name & age in home

Anyone else living in home?

Does anyone not live in the home 100% of the time? If so who and what percentage are they in the home?

What help or assistance do you feel your family is lacking? What is your greatest area of need that is not currently being addressed by another organization or family and friends? (required)
Meals after being in clinic longer then 5 hoursGroceriesLaundryHouse CleaningTime with spouseTime with other childrenFamily ActivitiesEmotional Support
If you have any need(s) not listed above enter it here:

Are you currently employed? (required)
YesNo

Is the other parent currently employed? (required)
YesNo

What is the yearly income of the household in which the child lives?

Has the income of the house changed since your child was diagnosed? If so how much?

Are there Other organizations that have helped you? If so whom? (required)

Is the child currently covered by private insurance or state funded insurance?

Is there a website, Facebook page or Caringbridge site that we can link to, to help share your story? If so please place link in box below

Allergies in the home?

Smokers in the home?

Pets in the home?

Release Forms

How comfortable is your family sharing your story? While we will always respect your privacy and wishes above all else, our non-profit thrives on donors. Donors are more likely to be involved if they "know" who they are supporting. We are open to keeping all information private, but changing names and places if you are more comfortable with that. We would like to set up a page on our website for each of the families we are working with. If not we completely understand. *

PHOTO WAIVER, RELEASE, & CONSENT WAIVER & RELEASE OF LIABILITY. In consideration of the TNK Children’s Foundation I hereby, and for (my) (my child’s) heirs, executors, administrators, assigns, and all legal guardians, WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS OF ANY NATURE, INCLUDING BUT NOT LIMITED TO THOSE FOUNDED IN WHOLE OR IN PART UPON ANY TYPE OF NEGLIGENCE, that (I) (my child listed below) may have against the TNK Children’s Foundation, its directors, officers, employees, agents, chapters, assignees, licensees, volunteers, and cooperating entities, their representatives, heirs, executors, administrators, successors, and assigns. I UNDERSTAND THAT THIS MEANS THAT I AGREE NOT TO SUE any or all of the Released Parties. PHOTOGRAPHIC AND OTHER MEDIA RELEASE. Consent also is hereby given to distribute, publish, exhibit, digitize, broadcast, display, reproduce, photograph, videotape or otherwise use (my)(my child’s) name, picture, portrait, likeness, writings or biographical information (including, if applicable, disease diagnosis), and audiotape and/or videotape recordings and sound or silent motion pictures of (me)(my child) in any manner or media whatsoever anywhere in the world in perpetuity for any lawful purpose whatsoever, including without limitation, for editorial, educational, promotional, and advertising purposes, for the solicitation of contributions, as evidence in litigation, and for any other purpose in furtherance of the corporate purposes and objectives of the TNK Children’s Foundation. I (I, on behalf of my child) further agree that the TNK Children’s Foundation shall be the exclusive owner of all copyright and other rights in such media. Finally, I (I, on behalf of my child) agree that I will not seek at any time to receive any financial benefit or compensation in connection with such media. By agreeing to this this document, I certify that I have read this document and fully understand it, and that I am not relying on any statements or representations of any Released Party. This document shall be binding upon me, (my)(my child’s) heirs, executors, administrators, assigns, and all legal guardians (of my child).

I have read and agree to the above statement (required)
You DO have my permission to share our story including social media, print etcYou DO NOT have my permission to share our story in any form

Electronic Signature (required)

Date Application Completed (required)

Content Keywords: childhood cancer support, childhood cancer help, childhood cancer assistance, childhood cancer support programs

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