Lump to Laughter, Inc

The Beauty of Hope

Fields with asterisks are required. Once your request is submitted, you will be routed to a confirmation page.

Our Beauty of Hope Day is made possible by our sponsors and takes place in Wilmington, NC

* Today's Date

* First Name

* Last Name

* Email

Address

City

State

Postal Code

* Phone

* Date of Breast/Ovarian Cancer Diagnosis

* Are you in Active Treatment(s) for...

Tell us what this Day of Pampering would mean to you.

Share Your Story-Be Inspiring! Be Encouraging! Be a Blessing to others in your story!

* Permission to Share your Story/Comments?

Additional Comments

Please upload a copy of your pathology report indicating your diagnosis of breast or ovarian cancer.

Document

Other

In order to process your request, we do require the following documents:
Photography Consent
The Beauty of Hope Release Form

You may upload required forms here or
fax forms to 910-679-4452 or send by mail to:
Lump to Laughter
PO Box 1295
Wrightsville Beach, NC 28480

Required Forms are on the right of this page.

The following questions are for demographic reporting only. Although not required fields, it does help us report accurately the demographics of those we serve to funding sources.

Race/Ethnicity

What is your total combined annual income?

Number of members living in your household

Date of Birth

The Beauty of Hope

Occurs only in Wilmington, NC

A day of VIP treatment, spa pampering, dress up and

photo session for those in active treatment or survivors of breast or ovarian cancer.

The purpose of this program is to reconstruct the spirits of those who are in active treatment for breast cancer in order to foster hope. In addition, distribution of the photos and participant stories share hope and encourage to others diagnosed with breast cancer.

Share your Story

Please see below for required forms

to be completed prior to participation.

A copy of your pathology report or letter from your doctor is also required in order to confirm your diagnosis

Lump to Laughter, Inc

The Beauty of Hope

Fields with asterisks are required. Once your request is submitted, you will be routed to a confirmation page.

Our Beauty of Hope Day is made possible by our sponsors and takes place in Wilmington, NC

The following questions are for demographic reporting only. Although not required fields, it does help us report accurately the demographics of those we serve to funding sources.

The Beauty of Hope

Share your Story

Downloads

The Beauty of Hope Release Form

Photography Consent Form