BACK Fighting Cancer, Inc.'s primary mission is to provide Financial assistance to families in Levy, Dixie and Gilchrist Counties with a child fighting cancer.
Each letter in BACK represents the rst initial of the name of a local child who either battled or is battling some form of cancer. B=Bridget A=Austin C=Corbin K=Kendall – each family beneted from the love and support of our communities in our darkest times. Each family is represented on the Board of Directors and now we are giving BACK!!
To apply for assistance please complete the application and return it to your social worker. When your application is approved, someone from BACK Fighting Cancer, Inc. will contact you via email and/or telephone. PLEASE make sure you provide accurate contact information.
Your information will NEVER be sold or given to anyone without your permission.
If you have any questions regarding this application, you may contact BACK Fighting Cancer, Inc. at (352) 356-8518 or via email at info@BACKFightingCancer.org.
1. The patient must be 18 years of age or younger and be currently undergoing treatment for a cancer-related diagnosis.
2. Submit completed application through hospital or physician representative (i.e. social worker, doctor or hospital administrator to BACK Fighting Cancer, Inc.,
Post Office Box 1419, Old Town, FL 32680
3) Patient MUST reside in Levy, Gilchrist or Dixie Counites. Proof of Address is required (Copy of Drivers License and/or Utility Bill)
4) Complete all sections of the applications truthfully. Any false, incomplete or misleading information will result in application denial.