Hug of Hope Application

There are many families affected by ALS and many of those families have children. In addition to our camps, we can provide a Hug of Hope from afar. A Hug of Hope is a care package that includes an age-appropriate gift (stuffed animal or gift card/HLC drawstring backpack), HLC t-shirt, card, snack, HLC wristband, literature, and a Camp HLC brochure. You can receive a Hug of Hope free of charge with the completion of this application.

Hug of Hope Care Package Application

About You

Should we address the package to you or your child(ren)?

Financial Information

Your household income section is optional. However, It will help us with grant information to help more kids and families affected by ALS.

Care Package Shipping Address

ALS Patient Info

Who has ALS in your family and what is their relationship to the Hug of Hope recipient(s)?
Is this person currently battling ALS?

Hope Loves Company

How did you hear about Hope Loves Company?

Hug of Hope Care Package Recipient #1

Hug of Hope Care Package Recipient #2

Hug of Hope Care Package Recipient #3

Hug of Hope Care Package Recipient #4

Hug of Hope Care Package Recipient #5

Any additional comments?

Camp HLC

Would you be interested in learning more about Camp HLC?

We have camps in New Jersey, Indiana, Massachusetts, Illinois, Georgia, and California and we would love for your family to join us at camp. We would be more than happy to jump on a call to tell you more about Hope Loves Company and the Camp HLC experience!

Please feel free to call the HLC office at 609-730-1144 or reach out to Cara Haggerty, Program Director, at, or Shannon Sullivan, Executive Director, at

Learn more about Camp HLC
Register for Camp HLC

Thank You!

Thank you for completing this form and for your interest in Hope Loves Company and our Hug of Hope care packages! We will send a confirmation when your Hug of Hope has been mailed.

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