Team Will
Hope for Children with Cancer

Team Will Hero Application

Fields marked with a * are required.

You can also fill out a Hero Application form and submit it by mail. Download pdf Form

Parent/Guardian Information

Information will be kept confidential

*First Name
*Last Name
*Relation to Child
Address
City
State
Zip
Phone
*E-mail
Child's Shirt Size
What pediatric cancer organization(s) would you like to see more support go towards?

Child's Bio

Information will be included on website

*First Name
*Last Name
Gender

Birthdate
Sibling(s) Name(s) and Age(s)
*Cancer Diagnosis, Date & Description
Current Health Status
Child's Support Website
(i.e. CaringBridge.org)
What is your favorite...
Color
Book
Sport
Game
Food
Movie
Animal
Song
If you could have a superpower, what would it be?
What fun fact would you like to share about yourself?
What are your favorite activities?
RELEASE
I, as parent/guardian of above named child hereby apply to be a Team Will Hero. I consent to the use of my child's photograph and biographical information in connection with being listed on Team Will's website (http://www.teamwillcharity.org) as a Hero. I waive and release any and all claims, related to the broadcast and use of the photograph and biographical information, against Team Will and their officers, and agents. I understand, accept and support Team Will's use of our child's photo and story for its cause to raise public awareness and funds for cancer research and resources for children and their families impacted by cancer.

*I accept the terms of the release: