A Letter from Norma Huempfner (Board Member):

I have been passionately involved with charity work helping children with life threatening illnesses since 1996. I was involved with the Jackson Memorial Guardian Angels program and the Faith Memorial Foundation. It was because of my own personal experience that I became involved with Chasin A Dream Foundation in 2017. My daughter Faith Huempfner was born on November 23 2007 with a rare chromosome deletion disorder and spent several months at St. Mary’s NICU. Our daughter received the most compassionate care a child could receive and for that we are forever grateful. In April 2008 our family's heart was broken when Faith passed away. In an effort to honor her memory I decided to devote my life to helping families who face these difficult situations in life. As a committed supporter and active Board Member of Chasin A Dream Foundation I look forward to helping as many families as we can.

If you are in need of assistance due to your child’s untimely passing, please submit the form below so we can contact you.

Today's Date *
Today's Date
Parent's Name *
Parent's Name
Child's Date of Birth *
Child's Date of Birth
Child's Date of Death *
Child's Date of Death
Address *
Address
Phone *
Phone
Alternative Phone
Alternative Phone
Burial, Counseling, etc.
I certify that to the best of my knowledge the information I have provided is complete and accurate. I understand that the information I have given is subject to verification by Chasin a Dream Foundation. I also understand that I am responsible to inform Chasin a Dream Foundation of any change in status. I grant permission to Chasin a Dream Foundation to use/release my information submitted, and disclose and request on my behalf to other agencies, providers, doctors, and medical facilities for the purpose of case management, assistance and advocacy and understand that I can revoke this permission at any time in writing. Information may be shared verbally or by computer data transfer, mail or hand delivery. I further understand that Chasin a Dream Foundation is a privately funded organization and the final determination of granting of financial assistance is based on the availability of funds and the governance of its board of Directors. I also grant Chasin a Dream full photo/media privileges of my family. *
Parent/Guardian E-Signature *
Parent/Guardian E-Signature