Harpswell, ME

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Make A Donation

MHP is totally dependent on donations. We rely on the generosity of our community’s businesses and individuals to enable us to be able to offer sick children with their very own “happy place”. We are a 501(c)3 organization, making your donation tax deductible.

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Sponsors

PARTNERS: Businesses or individuals who provide support of MHP on a continual basis by the service they provide or the financial donation they extend throughout the year. Whether they donate, offer at cost, discount or provide a much needed service, we owe them our gratitude.

SPONSORS: MHP looks for sponsorship on every room we do. This can be accomplished by sole sponsorship or a co-sponsorship. A sponsor is then invited to help with putting the room together and to be present at the Reveal. It is because of this involvement, that we have many repeat sponsors. Not only does the sponsor know exactly where his money is going, but they get to be a part of the magic.

Rainbow Connection

This has been an extremely difficult year, especially for children. Beyond getting sick, many young people’s social, emotional and mental well-being has been impacted by the pandemic. In order to do our part to spread JOY, we came up with the idea of The Rainbow Connection.

Periodically, we will select a child outside the scope of medical necessity who needs uplifting for various reasons: financial, emotional, social and mental. Because we believe that every child deserves their very own Happy Place.

We will select one grade school aged child (K-5th) who needs some joy and happiness. The child must live in or within a 30 mile radius of Harpswell, ME.

To nominate a child, fill out the application below. Available Rainbow Connection rooms and application deadlines will be posted on our Facebook page.

Please choose the location nearest the child's home: *Mason City, IAFort Collins, SDWatertown, SDEligible homes are within 30 miles of Mason City, Iowa or Fort Collins, Colorado, and 35 miles of Watertown, South Dakota

Child's First Name *

Child's Last Name *

Child's Age *

Male or Female *MaleFemale

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code

Country

Father's First Name

Father's Last Name

Father's Phone

Mother's First Name

Mother's Last Name

Mother's Phone

Main Contact Phone Number

Email Address

Please list the siblings and their ages also living at the address

Does the child named on this applicant have a bedroom of his/her own?YesNo

Does the child named on this applicant share a bedroom with a sibling?Yes No

If yes, list name and age:

Please tell us why this child could use a Happy Place: *

What are the child's favorite colors, characters, theme, etc?

IMPORTANT: Publicity is vital to the growth of our organization. It is through publicity that we gain potential donors as well as applicants. The family will be asked to sign a MEDIA CONSENT form if chosen for a bedroom makeover. *I understand

Name of the person Filling out this application *

Relationship to nominee:

Phone number of the person filling out this application *

I confirm that all of the above information is true and correct by submitting this application.Confirm

Contact

We would love to connect with you. Please feel free to contact us the following ways.

My Happy Place
Rhonda Clark
Telephone: 641-529-3400
Email: clarkrd3303@gmail.com

Location *

Name *

Email Address *

Phone Number

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Please choose the location nearest the child's home: *Mason City, IAFort Collins, COWatertown, SDHarpswell, MEEligible homes are within 30 miles of Mason City, IA, Fort Collins, CO, Harpswell, ME and 35 miles of Watertown, SD

Child's First Name *

Child's Last Name *

Child's Date of Birth *

Child's Age *

Male or Female *MaleFemale

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code

Country

Father's First Name *

Father's Last Name *

Father's Phone

Mother's First Name *

Mother's Last Name *

Mother's Phone

Main Contact Phone Number *

Email Address *

Does the child live at this address permanently? *YesNo

If no, does the child reside where the bedroom makeover would take place at least 50% of the time? *YesNo

Are you the owner of the property listed on this application? *YesNoIf NO, MHP must have landlords contact info. in order to get permission to redecorate.

Please list the siblings and their ages also living at the address

Does the child named on this applicant have a bedroom of his/her own? *YesNo

Does the child named on this applicant share a bedroom with a sibling? *Yes No

If yes, list name and age:

State child's documented diagnosis: *

Is this a chronic or terminal illness? *ChronicTerminal

Please give details of the kind of treatment the child is receiving currently: *

As a parent, what are your desires for the room? *

What are the child's favorite colors, characters, theme, etc? *

What benefit are you hoping the child will gain from having a bedroom makeover? *

IMPORTANT: You may be asked to submit a Healthcare Professional Form, verifying your child's diagnosis. While we know this can hold up an application, we must have one on file before any work is done on the room (if this form is required by the MHP Affiliate). You may submit the actual application asap, but if application is accepted, this form must be completed by the child's healthcare team before any work is done on the room. You may print off this form to take to your child's healthcare provider to have them sign and mailing it to the MHP Affiliate's address or direct the healthcare provider to: http://myhappyplacemc.com/healthcare-professional-form/

Name of the person Filling out this application *

Relationship to nominee:

Phone number of the person filling out this application *

I confirm that all of the above information is true and correct by submitting this application.Confirm

Make A Donation

News

Stories

Sponsors

Rainbow Connection

Contact

Meet Our Board

Apply