top of page

General Comments/Questions

Name *

Email *

Subject

Message *

Thanks! Message sent.

Inquires Regarding Assistance

The Heather Pendergast Fund seeks to support families of volunteer firefighters/EMS on Long Island who have children with life-threatening illnesses.

 

If you feel you or a family within your fire department fits our mission, please fill out the information below, and a Heather's Fund Board Member will reach out to you for more information. Filling out this form does not guarantee funding or eligibility. 

Name *

Email *

Phone *

Address *

Fire Department *

Child's Name *

Thank you. Your message has been sent.

bottom of page