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Holiday Toys Program

Every holiday season the Spinal Injury Foundation purchases toys for the children of patients with disabling chronic spinal pain who are out of work due to their injuries.

Simply fill out the form below before December 6, 2006. Ten forms will be drawn at random from all eligible forms submitted. If selected, your present will be ready to be sent by December 12, 2006.

Criteria for eligibility:

  • Parent suffers from disabling chronic spinal pain

  • Parent is out of work due to their disabling chronic spinal pain

  • Child is younger than 18 years of age

If you or someone you know would like more information about this program, complete the form below (this is not a registration form).

 

gift request form

First Name:           Last Name:

      Email:      Telephone: