Family Referral Form — sophie's magic mailbox

sophie's magic mailbox

Delivering the Spirit of Christmas, one letter at a time.

Family Referral Form

Complete the form below.

We understand how difficult having a child facing medical crisis can truly be. We want to create some magic this Holiday season and pass along some assistance. Tell us about the family you’re nominating.

Please complete the form below

Name

First Name

Last Name

Email

Family's Name (Mom and Dad and their heart warrior)

Please tell us why you feel this family could use some Holiday assistance.