• Skip to primary navigation
  • Skip to main content
  • Skip to footer
hogfarmers logo

HogFarmer Charity

Helping children and families affected by pediatric cancer

  • Home
  • Misson
  • Donate & Support
  • For Cancer Families
  • Donate

Request a Care Package

November 1, 2021

At the heart of what the Hogfarmers do as an organization are the kids. Those suffering through terrible diseases that are painful and very scary.

If you know of a family with a child suffering through pediatric cancer in the Virginia, Washington D.C. and Southern Maryland area and you think they could benefit from some special attention from us, The Hogfarmers, please feel free to nominate them below.

Please Read Our Terms and Conditions

New Families visiting for the first time, please continue with the form below.


Thank you for visiting the Hogfarmers Charitable foundation. We have reached our monthly Care Package Request quota. Please revisit the site the first of the month when request reopen.

Request Care Pack-Local

Step 1 of 7 - Requirements

14%

The Hogfarmers Charitable Foundation is a nonprofit organization whose mission is to help children and families affected by childhood pediatric cancer. To this end, The Hogfarmers conduct programs and activities for cancer-fighting youth.

Care Package Eligibility:

1. The spirit and intent of the Hogfarmers Charitable Foundation's mission statement must be met by the applying family

2. The child in question must be between the ages of Infant to 18 years.

3. The child in question MUST be in active treatment.

4. Must be a residence in the Virginia, Washington D.C. and Southern Maryland area.

State of Residency: What state do you currently live in?

REQUIRED

Active Treatment Confirmation: Care Packages are a limited service offering

REQUIRED

ConfirmActiveTreat(Required)
Please confirm the status of this child's treatment. Please note that The Hogfarmers only offer Care Packages to children currently being treated for cancer. This service is limited to Virginia and Maryland residents.

Active Treatment Documentation: Please provide some form of documentation confirming active treatment

REQUIRED

Drop files here or
Max. file size: 25 MB, Max. files: 5.
    Please attach some form of paperwork to confirm active treatment. Most recent date possible.

    Essential Details

    Child's Full Name: Please enter your child's full name

    REQUIRED

    Child's Birthday: Please enter your child's date of birth

    REQUIRED

    Primary Phone: Please enter the primary contact phone number

    REQUIRED

    Primary Email: Please enter the primary email that will be used for all communication

    REQUIRED

    PrimaryEmail(Required)

    Primary Address: Please enter your primary address

    REQUIRED

    Shipping Address Differs: Please check this in order to use a different address for shipping to

    UseShipAddress
    Please provide a SHIPPING address if packages are to be sent to a different location

    SHIPPING Address: Please enter your SHIPPING address

    REQUIRED

    Type of Caner: Please enter the specific type of cancer the child is being treated for

    REQUIRED

    Medical History: What Can You Tell Us?

    REQUIRED

    Please tell us what you can about the child's medical history so that we may better serve him/her.

    Clothing Size: What size clothes does this child wear

    REQUIRED

    Please tell us what size clothing the child wears

    Grade: What grade is the child in? (Kindergarten or Earlier = 0)

    REQUIRED

    Please enter a number from 0 to 12.
    What grade is the child in? (Kindergarten or Earlier = 0)

    Additional Information

    General Information About Child

    Known and Existing Allergies: Please inform us of existing allergies

    Please tell us if the child has any known allergies. (Ex.: Peanuts, Dander)

    Favorite Subjects: Please tell us what the child's favorite classes and subjects are

    Please describe what school subjects and areas of study the child likes. (Ex. History, Science)

    Primary Journey Website: If in use, please provide the web address to the child's primary journey page

    Please tell us where we can find the child's story online.

    Secondary Journey Website: If in use, please provide the web address to the child's second journey page

    Please tell us where we can find the child's story on social media.

    Slogans Used: If any, please tell us what slogans are used

    Please tell us if the child has any associated slogans or catch-phrases being used on their behalf (Ex. Katy Strong)

    Additional Likes and Interests: Please provide any further relevant details

    Any additional info you think would be helpful.

    Contact Information>

    Living Arrangement: Please tell us who the child primarily lives with

    REQUIRED

    The child lives with whom?

    Guardian One

    Parent/Guardian One: What is the name of the Primary Caregiver

    REQUIRED

    Parent/Guardian One's Email: What is the Primary Caregiver's email address

    REQUIRED

    Parent1Email(Required)

    Parent/Guardian One's Phone: What is the phone number of the Primary Caregiver

    REQUIRED

    Parent/Guardian One's Occupation: What does the Primary Caregiver do for work

    Please tell us what this person does for a living

    Guardian Two

    Parent/Guardian Two: What is the name of the second caregiver

    Parent/Guardian Two's Email: What is the second caregiver's email address

    Parent2Email

    Parent/Guardian Two's Phone: What is the phone number of the second caregiver

    Parent/Guardian Two's Occupation: What does the second caregiver do for work

    Please tell us what this person does for a living

    Permissions Granted>

    Privacy & Sharing Acknowledgement: What will you allow us to share? (Please click all that apply)

    REQUIRED

    PrivacySharing(Required)

    Social Media Usage: May we use content from your child's social media?

    REQUIRED

    SocialMediaUse(Required)

    How did you hear about us?: Please be specific

    REQUIRED

    Verification Process

    Case Worker Information: (For Verification Process)

    Do you have a Case Worker?: Yes or No

    REQUIRED

    YNCaseWorker(Required)

    Case Worker's Name?: Please tell us the name of your case worker

    REQUIRED

    Case Worker's Email?: Please provide your case worker's email address

    REQUIRED

    CWEmail(Required)

    Case Worker's Phone?: Please provide your case worker's phone number

    REQUIRED

    What hospital you do primarily use?: Please give use the name of the hospital

    REQUIRED

    What city and state is this hospital located in?: Please give use the location of the hospital

    REQUIRED

    Are you a Facebook User?: Please answer Yes or No

    REQUIRED

    FacebookUser(Required)

    Your Facebook URL: Please provide your Facebook URL

    REQUIRED

    Support Specifics>

    Your support preference?: Please select all that are preferred

    REQUIRED

    SupportMethod(Required)
    Please tell us what types of support would be most beneficial to the family

    Your restaurant preferences?: Please list all that are preferred

    REQUIRED

    Your gas station preferences?: Please list all that are preferred

    REQUIRED

    Your grocery store preferences?: Please list all that are preferred

    REQUIRED

    Your preferences for gifts to pass the time?: Please list all that are preferred

    REQUIRED

    Would you like gas cards instead of toys?: Please select Yes or No

    REQUIRED

    GiftCardsToys(Required)
    This field is for validation purposes and should be left unchanged.

    Footer

    Contact Us

    Hogfarmers Charitable Foundation
    PO Box 2082
    Staunton, VA 24402

    P. (540) 448-6818

    Contact Us Today

    Get To Know Us

    • The Hogfarmer Story
    • Strategic Partnerships
    • Hogfarmers Board of Directors
    • Transparency
    • Strategic Business Plan
    • Short-Term Aspirations

    Additional Information

    • Events
    • Store
    • Gallery & Press
    • Annual Reports
    • 2023 Hogfarmer Ambassadors

    Connect with Us

    • Facebook
    • Instagram
    • Twitter
    guidestone transparency badge
    Hogfarmers Charitable Foundation Nonprofit Overview and Reviews on GreatNonprofits
    Volunteer. Donate. Review.

    Copyright © 2023 · Hogfarmers Charitable Foundation ™ · Website Design by Media317 · Log in

    The Hogfarmers Inc is a Virginia nonprofit corporation exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. Federal Identification Number (EIN): 84-2919107. All donations are tax-deductible as allowed by law.

     

    Loading Comments...