Register as a nc4K family
We are always accepting new families
As a member of the NC4K Family, you’ll have access to family fun events and financial assistance. By registering your family, you will receive regular communication from NC4K regarding upcoming programs and opportunities.
To be eligible to become an NC4K Family, you must:
Live in or be treated in the state of Ohio.
Have a pediatric cancer diagnosis.
Have legal custody of the patient child.
To register as an NC4K Family, please:
Complete the registration form (link below)
Provide information about the patient child including pediatric cancer diagnosis and date of last treatment.
Provide the name of the hospital where the patient child receives treatment and the name of your family social worker.
Once your application has been received it will be reviewed and verified by the NC4K Staff. You will receive registration confirmation within 7 business days via email.
If you have already registered but have a change of information please contact our office.
TERMS AND CONDITIONS:
I understand that in order to receive financial services from NC4K, the patient child must reside at home and must be under the legal custody of parent or guardian. I agree to uphold the values of NC4K and I shall not discriminate against any NC4K families, employees, supporters or volunteers on the basis of age, ancestry, disability, gender identity, HIV/AIDS status, military or veteran status, national origin, race, religion, sex, or sexual orientation. I agree to maintain a professional relationship with Nellie's Champions for Kids. I agree to never publicly denigrate or defame the name of NC4K or its current or former families, employees, supporters, or volunteers, including on online platforms and written communication. I agree and understand that NC4K reserves the right to refuse any and all services if there is any concern of misuse of gift or if I do not uphold this agreement. I understand that I may opt out of this agreement at at point and will no longer be considered an active NC4K family. As an active NC4K family, I agree to respect these terms and conditions.
Email Whitney our Family Services Coordinator, at firstname.lastname@example.org if you have any additional information or want to learn more.