Coping & Family Boxes

With support from Phillies Charities, Inc., Ryan’s Case for Smiles has graciously offered to provide Coping and Family Boxes for KIF1A superheroes who have either an upcoming or unexpected hospital visit, surgery, exam, procedure or has experienced a painful injury. Each box comes filled with items to help reduce stress for our superheroes and their families as well as promote family fun with the activities included. Learn more about Ryan’s Case for Smiles here.

To request a Coping and Family Box for a KAND superhero, please fill out and submit the form below. Boxes are FREE for all superheroes regardless of where they live! Once received, we’ll be in touch with you as soon as possible to coordinate delivery of your Coping and Family Box!

Questions? Email Angie at Angie@kif1a.org.

Coping Box Request Form

"*" indicates required fields

Name of Superhero*

Age of Superhero*

Gender (Optional)

Male

Female

Name of Person Completing Form*

First Last

Your Email*

Enter Email Confirm Email

Your Phone Number

Please provide detail of the superhero’s interests, such as favorite color, activity, sport, or superhero to help us choose a themed pillowcase.

Please provide names of siblings in the home, if applicable.

Please provide interests of siblings, if applicable, to help us choose a themed pillowcase.

Shipping Destination*

If the length of the hospital stay is temporary or unknown, we recommend shipping to your home.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please indicate the shipping address location type.

Home/Residence

Hospital

Other (if other, please describe)

If there is any other important information about the shipping destination, please provide details here.

(e.g. hospital room number, ATTN: information)

Requested Delivery Date*

Please note, we will attempt to have the box arrive as close to the requested delivery date as possible, but the delivery date cannot be guaranteed. Please keep in mind that delivery will take longer for shipping outside of the US.

Please provide us with any additional information you would like us to know.

KIF1A.ORG Consent

I accept the use of any photos or videos of the Coping and Family Box experience sent to KIF1A.ORG for public awareness purposes.

Case for Smiles Consent

I accept the use of any photos or videos of the Coping and Family Box experience sent to KIF1A.ORG for public awareness purposes by Ryan’s Case for Smiles.