One Bright Star - A Resource For Families Who Have Lost A Child

	Matching Grant Application

Please fill out the simple form below to apply for a Matching Grant, for the purchase of a plaque or jewelry item. Your application will be reviewed by our board and you will be notified by email if your application is approved or not.

* indicates required information.

*Name of Applicant
*Address
*Email
*Phone xxx-xxx-xxxx
*Child to be Honored
*Child's Birth Date mm-dd-yyyy
*Child's Date of Death mm-dd-yyyy
*Parent(s)
Plaque or Jewelry Request	See Plaque Specs \| See Jewelry Options

The One Bright Star organization and its unique symbol recognize and support those who have experienced the death of a child.
© Copyright 2006 One Bright Star
P.0. Box 1084 Mankato, MN 56002-1084
help@onebrightstar.org