Christopher's Guests - Application for social workers & families

Christopher's Guests
christophersguests@yahoo.com 412 488 0165

Christopher's Guests
P.O. Box 95001
335 Butler Street
Pittsburgh , PA
United States
ph: 412-488-0165
christophersguests@yahoo.com

Application for social workers & families

Our goal is to provide financial and emotional support to families who have come to Pittsburgh due to an illness with a child in their family.

Families must meet 2 criteria:

- Have a child under the age of 20 who needs medical treatment in Pittsburgh.

-Home is further than 40 miles away from Pittsburgh.

How we can help you:

- Subsidize transportation and housing

-Supply gift cards to gas stations, grocery stores, restaurants,stores.

-Help with parking costs.

-We consider every request. Anything we can do to assist you,please ask.

*First Name:

Mom and/or Dads name

*Last Name:

Address Line 1:

Home Address

Address Line 2:

City:

State/Province:

ZIP/Postal Code:

Country:

*Email:

Mobile Phone:

Or any phone number that we can get in touch with you

Service Requested:

For example; gas cards, a week stay at hotel, food gift cards, etc.

Comments:

Please let us know where you are staying. Name of hospital, Patient information( Name, age, condition)

Submit Your Message:

After you are finished,scroll back to the top of the page to make sure that your request went through.

Christopher's Guests
P.O. Box 95001
335 Butler Street
Pittsburgh , PA
United States
ph: 412-488-0165
christophersguests@yahoo.com