Applying to Become a Starlight Family

Step 1:

Have your child’s physician fill out the form below, scan it and upload it when you fill out the Family application form.

Click here to download the Physician form.

Step 2:

Once you have the Physician form filled out (make sure you have an electronic version – picture or scanned pdf) click on the link below to fill out the Family form.

Without the Physician form filled out you will not be able to fill out the Family application form.

Click here to fill out the Family application form.