New Starlight Member Sign Up Forms
Please submit the following documents to become part of the Starlight program:
• Starlight Membership Forms
Return completed forms to:
Starlight Children’s Foundation Midwest
New Member
30 E. Adams Street
Suite 1020
Chicago, IL 60603
You may also email your completed form to info@starlightmidwest.org or fax it to (312) 251-7825.
Is Your Family Eligible to Participate in Starlight’s programs -
To be eligible for acceptance, a child must have a serious illness or a severe chronic medical condition that significantly affects their day-to-day existence. To be considered medically eligible for the program, a child must have a medical illness or condition that falls within one of the following categories:
- Applicant has a life threatening medical illness
- Condition significantly restricts mobility
- Pain and discomfort from the condition cannot be controlled or surgically repaired
- Condition requires significant and ongoing medical treatment
- Condition is progressive
- If the condition is not progressive, it must be current