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About
Team
Partners
Documents and Reports
Support the Foundation
Thank You
Our Projects
Our Children
Help Needed Now
Stories of Support
Completed Fundraisers
News
Children’s Home
Contact Us
Request for Help
Partner Application
Volunteer Application
HELP CHILDREN
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Request for Help
Информация о ребенке
Date of Arrival in Israel
Child’s Details
Date of Birth
Photos of the Child
Drag files here,
accepted formats: .jpg .png
Country of Residence
Status
Hospital
Diagnosis
Document Confirming the Diagnosis
Drag documents here,
accepted formats: .docx .doc .pdf .txt .pages .jpg .png
Medicines
Which company arranged your treatment visit?
Дополнительная информация
Religion
We ask this so we can better respect and honour your traditions. It does not affect how we treat you in any way.
Favourite Toys and Interests
Dream
Additional Requests
A Short Story About the Child
Drag the child’s story document here,
accepted formats: .docx .doc .pdf .txt
Информация о семье ребенка
Does the child have any brothers or sisters?
Yes
No, an only child
Brother’s or Sister’s Name
Age
Are they in Israel?
Yes, they are all here
Some, but not all
No, only the child is here
Additional Information
Контактная информация
Home Address
Father’s Full Name
Father’s Phone Number
Photos of the Father’s Passport
Drag documents here,
accepted formats: .pdf .jpg .png
Mother’s Full Name
Mother’s Phone Number
Photos of the Mother’s Passport
Drag documents here,
accepted formats: .pdf .jpg .png
Email Address of One Parent
Политика конфиденциальности
Do you give permission to publish photos and information about the child on the foundation’s social media and website?
Yes, I give permission
No, I do not give permission
May we send you updates about our foundation and its events?
Yes, please send them
No, please do not send them
Yes, I consent to the processing of my data
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