Skip to content
About Us
Contact Us
Sign Up for our News Letter!
Trevors Law
TSCA Reform
Projects & Programs
Childhood Cancer Cluster Busters
Trevor’s Trek Healthy Spaces Initiative
Childrens Cancer Pavilion
Brave & Bold Boise Gala 2023
Childhood Cancer Strategic Plan of Idaho
News
Resources
Camp Rainbow Gold
Documenting Hope
Mesothelioma and Youth
Childhood Cancer Facts
Stories of Hope
Childhood Cancer Society
Multimedia
Video Gallery
Photo Gallery
Menu
About Us
Contact Us
Sign Up for our News Letter!
Trevors Law
TSCA Reform
Projects & Programs
Childhood Cancer Cluster Busters
Trevor’s Trek Healthy Spaces Initiative
Childrens Cancer Pavilion
Brave & Bold Boise Gala 2023
Childhood Cancer Strategic Plan of Idaho
News
Resources
Camp Rainbow Gold
Documenting Hope
Mesothelioma and Youth
Childhood Cancer Facts
Stories of Hope
Childhood Cancer Society
Multimedia
Video Gallery
Photo Gallery
Childhood Cancer Cluster Busters
+
Add a case
made with
OUM PRO
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Donation Amount
*
$5
$10
$20
$30
$50
$100
$500
Other Amount
Other Amount
*
Minimum Price: $5.00
Donation Frequency
*
One Time
Monthly
Quarterly
Bi-Annually
Annually
Credit Card
*
Card Number
Security Code
Name on Card
Expiration
MM
1
2
3
4
5
6
7
8
9
10
11
12
/
YY
24
25
26
27
28
29
30
31
32
33
34
Total
$0.00
Comments or Questions
Custom Captcha
*
What is 7+6?
Submit
13663
✕
Add your childhood cancer case!
Enter your Zip Code to set a location
Not Required
Child's Cancer Type*
Adenoid Cystic Carcinoma(ACC)
Aveolar Soft Part Sarcoma(ASPS)
Bone Cancer: Ewing Sarcoma
Bone Cancer: Chondrosarcoma
Bone Cancer: Osteosarcoma
Other Bone Cancer or Sarcoma
Brain Tumor: Anaplastic Meningioma
Brain Tumor: Astrocytoma
Brain Tumor: Atypical Teratoid/Rhabdoid(AT/RT)
Brain Tumor: Brain Stem Glioma
Brain Tumor: Diffuse Intrinsic Pontine Glioma(DIPG)
Brain Tumor: Ependymoma
Brain Tumor: Ganglioglioma
Brain Tumor: Germ Cell Tumor
Brain Tumor: Glioblastoma(GBM)
Brain Tumor: Gliofibroma
Brain Tumor: Glioma
Brain Tumor: Juvenile Pilocytic Astrocytoma(JPA)
Brain Tumor: Medulloblastoma
Brain tumor: Oligodendroglio-like Leptomeningeal Tumors
Brain Tumor: Optic Nerve Glioma
Brain Tumor: Primitive Neuroectodermal Tumor(PNET)
Other Brain Cancer
Colon Cancer: Adenocarcinoma
Colon Cancer: Carcinoid Tumor
Colon Cancer: Gastrointestinal Stromal Tumor(GIST)
Other Colon Cancer
Desmoplastic Small Round Cell Tumor(DSRCT)
Hepatoblastoma
Histiocytic Sarcoma
Kidney Cancer: Clear Cell Carcinoma
Kidney Cancer: Renal Cell Carcinoma(RCC)
Kidney Cancer: Wilms Tumor
Other Kidney Cancer
Langerhans Cell Histiocytosis(LCH)
Leukemia: Acute Lymphoblastic(ALL)
Leukemia: Acute Myeloid(AML)
Leukemia: Acute Promyelocytic(APL)
Leukemia: Chronic Myeloid(CML)
Leukemia: Juvenile Myelomonocytic(JMML)
Other Leukemia
Lymphoma: Burkitt
Lymphoma: Hodgkin
Lymphoma: Lymphoblastic
Lymphoma: Non-Hodgkin
Other Lymphoma
Neuroblastoma
Primitive Myxoid Mesenchymal Tumor of Infancy(PMMTI)
Rhabdomyosarcoma(RMS)
Retinoblastoma
Rhabdoid Tumor
Skin Cancer: Basal Cell Carcinoma(BCC)
Skin Cancer: Cutaneous T-cell Lymphoma
Skin Cancer: Dermatofibrosarcoma Protuberans(DFSP)
Skin Cancer: Melanoma
Skin Cancer: Squamous Cell Carcinoma(SCC)
Other Skin Cancer
Thyroid Cancer
Other Cancer
Please select from the above options
Gender of child diagnosed*
Male
Female
Age of child at time of diagnosis*
0-12 months
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Year of Diagnosis*
Before 1970
1970-1979
1980-1989
1990-1994
1995-1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Please select from the above options
How many years prior to diagnosis did the child live at this location?*
Less than a year
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Is the child deceased?*
Yes
No
Upload media
×
×
Notify me when it is published
Thank you!
We will review your case and process for submission on our Map!
Add another Location
✕