General Inquiry Form

The first step in determining if a child is eligible for “adoption” by The Danny Fund is completion of the General Inquiry Form. Within 24-48 hours of receipt one of our social workers will be in touch to discuss your application in more detail.

NOTE: Due to the level of financial support typically provided, children/families receiving public assistance are not eligible to avoid jeopardizing aid received from governmental agencies. Also, families must reside within a 30-mile radius of Pelham, NY to ensure we have volunteers who can travel to liaison with the families as needed.
* = Required field
Your Name*
Please let us know your name.

Name of Person Completing This Form

Relationship to Child*
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Organization
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(if applicable)

Phone Number*
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Email*
Please let us know your email address.

Child Name*
Please write a subject for your message.

Name of the child whose family needs assistance

Date of Birth*
/ / Invalid Input

Child's Date of Birth

Message
Please let us know your message.

Sex*
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Sex of the child

Names of Parents or Guardians*
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Address of Child*
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Parent or Guardian Phone Number*
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Parent or Guardian Email*
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Diagnosis*
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Date of Diagnosis*
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Prognosis*
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Needs or Issues*
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