Application

To be considered as a potential Cancer Freeze recipient, please print and complete the Application below, then mail to the address shown. Applications are received and reviewed by the Board
Sept. 1-Oct.1 each year just prior to the annual event (held the first Saturday in February). 

May God bless you and your family

Click HERE to download application to be considered as recipient for Feb. 2017.

*Recipients for 2017 have already been chosen.
Please check back next year to be considered for 2018.