Welcome to the Application Page


To apply for assistance please complete the following steps:


1.  Please have a Medical Professional refer you.

2.  Click on the appropriate link below to open the Application Page.

3.  Do not type into the Application Page you just opened.

4.  Save the Application Page to your computer.

5.  Return to the website by using the "back arrow" or by "closing" the Application Page.

6.  Fill out the application, using your word processor, making sure all the required information has been completed.  All questions must be answered, including two signatures at the end, to ensure acceptance for assistance. 


7.  Either email the completed and signed application to:,

Fax 853-0492, or

mail the application to

The Lions Sick Children's Fund

PO Box 7374

Riverview, NB, E1B 4T9

Application latest English July 2014

Formulaire de Demande en Franšais