Cheer Box Submission Form

The Cheer Box program is an annual event that EveryStep Grief & Loss Services, home of Amanda the Panda, holds to give gifts to grieving families during the holidays. These gifts are wrapped and delivered to the individuals' and families' doorsteps and are meant to lighten the spirits during a time of year that can be tough when a loved one has died. To submit an individual or family to receive a Cheer Box, please fill out the form below.

Receiving Person's Information

Household Information

Referral's Information