We Are Here For You

Financial Assistance Application

No family should face the financial burden of a child's illness alone. Apply below and let us help carry the weight.

Help Is Available

Aprayer4Alex was founded on the belief that no child should suffer alone — and no family should be left without support. Through the generosity of our donors and community, we are able to provide direct financial assistance to families navigating the unimaginable.

All applications are reviewed personally by our team. Every submission is treated with the utmost care, compassion, and confidentiality.

Who Can Apply

We encourage any qualifying family to apply. If you're unsure whether you qualify, reach out — we'll help you figure it out together.

  • Child is currently diagnosed with a life-threatening illness (cancer or similar)
  • Family resides in or is receiving treatment in South Florida
  • Demonstrated financial need related to medical care
  • Application submitted by a parent, legal guardian, or social worker

How It Works

A simple, compassionate process — because you have enough to worry about.

01

Submit Your Application

Complete and submit the form below. All information is kept strictly confidential.

02

Review by Our Team

Our team reviews every application personally. We aim to respond within 5–7 business days.

03

Receive Support

Approved families receive direct assistance — financial support, gifts, or resources based on need.

Submit Your Application

All information is kept strictly confidential. Fields marked * are required.

Applicant Information

Child's Information

Assistance Needed

Submitting this form will open your email client addressed to [email protected]. All information is kept confidential.

Questions Before Applying?

We're happy to talk through the process with you. Reach out anytime — no question is too small.

[email protected]