Request a Scarf for yourself

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If you are currently receiving chemotherapy treatment, you may request a Scarf of Courage for Yourself.  A scarf along with a message of courage will be sent to lift your soul on those dark days.  If you could use a ray of sunshine during your fight against cancer submit a Scarf Request for Yourself form. 

Due to the limited number of available scarves, we are currently only honoring scarf requests for patients currently undergoing treatment.  One request per person. We reserve the right to determine, based solely upon our discretion, whether a submitted request will be honored.

If you are requesting a scarf as a gift for a loved one or friend, please go to Request a Scarf for Someone Else.

Shipping may take 2-3 weeks depending on stock and demand.  Shipping is only offered within the 50 states of the USA, including U.S. territories, such as Puerto Rico, no international shipping.

Scarf Request Form

 
Name *
Name
Address *
Address
About You
Are you currently undergoing chemotherapy and facing hair loss? *
Due to the limited number of available scarves, we are currently only honoring scarf requests for patients currently undergoing treatment.  One request per person. We reserve the right to determine, based solely upon our discretion, whether a submitted request will be honored.
Date of Diagnosis *
Date of Diagnosis
Our donated scarves are always evolving, so we may not be able to guarantee your preferences, but we will always do our BEST! (Pre-tie scarves are not available)
Short Square, Long Square, Long Oblong
Short Square, Long Square, Long Oblong
How did you hear about Courage for the Soul? *
Are you interested in sharing your journey on our blog "Faces of Courage?' *
Each month, we feature a woman who embodies what it means to live life over cancer.
Help Us Make a Difference *
There is no cost to request a scarf for yourself. However, as an organization, we rely on donations to fulfill our mission. If you wish to make a donation, please press the donation button. No donation is ever too small.