Applying to Become a Starlight Family

Step 1:

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

Click here to download the Medical Professional Form.

Step 2:

Once you have the Medical Professional 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 Medical Professional Form filled out, you will not be able to fill out the Family Application Form.

Click here to fill out the Family Application Form.