Kids Alive Colorado – Support for Children of Parents with Cancer

Fill Out Our Online Application

Thank you for your interest in the Kids Alive Support Group for Children of
Parents with Cancer.

kidsaliveactivities_1If you have a child who you think you could benefit from Kids Alive, please feel free to call Dottie Mann (303-765-3883) directly for more information, or fill out the application below. If you have more than one child, you should fill out an application for each child. Please note that the group is for kids 6-16 years old and meets once a month at Porter Adventist Hospital. A family interview process is required before attending the first meeting.

Please notice there are 4 pages with our application. Simply type in the grey highlighted areas, and click the next button. Your information will be saved as you move to the next page. Once submitted, you will be able to download a PDF of your application.

Once you have filled out the application, we will contact you to give you more information and set up the family interview. We look forward to hearing from you!

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