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Care Request

Request a Resilience Care Box

Resilience (ri-zil-yen(t)s: the capacity to recover quickly from difficulties.

We are praying for your resilience during this difficult journey. It is our prayer that you feel loved, comforted, and covered in a blanket of grace and peace. We are praying for you.

Our Resilience care boxes are meant to keep you company on the journey from brokenness to breakthrough. Each item is carefully chosen and prayed over to remind you that your resilience is shining through, even on the days when you feel the darkness closing in.

Be encouraged!

As you request your Resilience box, please be as specific as possible about the recipient. This helps us know how to tailor the package to the recipients needs.

Care Box Request Form
Name of Requestor
Name of Requestor
First
Last

Care Recipient Information

Name of Care Recipient
Name of Care Recipient
First
Last
Address of Care Recipient (Note: We do not ship to hospitals or PO Boxes)
Address of Care Recipient (Note: We do not ship to hospitals or PO Boxes)
City
State/Province
Zip/Postal
Do they currently live at this address?
General Category of Need (Check all that apply)

Care Recipient's Story

Personal Touches – Help Us Customize the Box

Medical or Care Team Involvement (optional but helpful)

Are they currently receiving care from a hospital, hospice, or other organization?

Verification

We may follow up with the requestor to confirm information.