Applying to Become a Starlight Family

Step 1:

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

Click here to download the Physician/Nurse Form.

Step 2:

Once you have the Physician/Nurse 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/Nurse Form filled out, you will not be able to fill out the Family Application Form.

Click here to fill out the Family Application Form.