BECOME A WARRIOR

HOW TO APPLY

We understand the challenges you're facing, and we're here to support you. If you or a loved one is battling cancer, we invite you to apply for a Warrior Wig Award. This award provides up to $1,500 for each recipient, which can be used at any of our approved vendors for a custom wig, accessories, or hair care products.

Prior to downloading or completing the application, please review all Warrior Wig guidelines.

1. The wig or anything additionally purchased with the "Warrior Wig" Award provided is non-refundable, non-exchangeable, and cannot be converted to cash. It is sold "as is" and may not be returned or exchanged for any reason.

2. Recipients must choose from our approved vendor list to redeem their Warrior Wig Award. The award can only be used at one vendor, and it cannot be split between multiple vendors. However, there is a wide variety of services, styles, and options available, both online and in-store, to ensure that every warrior can find the perfect fit for their needs.

4. A submitted application does not guarantee the receipt of a wig, as the organization receives thousands of applications daily and allocations are subject to availability and eligibility.

5. We will need to verify eligibility for the wig, so a copy of a medical record showing your cancer diagnosis, a letter from your oncologist or healthcare provider confirming your diagnosis and/or ongoing treatment, or any other official documentation from a medical professional that confirms your condition and need for support is required with your application.

6. If you have health insurance, we ask that you please take a moment to check whether your plan covers cranial prosthetics (wigs prescribed for medical reasons).

Application Process:

Fill out the form with your personal details.
Upload your medical verification form.
Share your story and a photo to help us better understand your journey.

At Warrior Wigs, we believe every woman facing the battle against cancer deserves to feel beautiful, confident, and loved. Warrior Wigs’ mission is to glorify God in caring for His cancer warriors by providing wigs to help them feel beautiful and loved.

Client's Information

Full Name

First Name

Last Name

Date of Birth

YYYY

Age

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Health Information

Please share any information about your diagnosis and treatment that you feel comfortable providing. We understand the sensitivity of this topic and appreciate your openness in helping us better support you.

Are you currently in treatment?

Why Do You Believe a Wig Would Benefit You?

Insurance and Eligibility Check:

We want to ensure that you receive the best assistance possible. If you have health insurance, please take a moment to check whether your plan covers cranial prosthetics (wigs prescribed for medical reasons). Have you checked if your health insurance covers cranial prosthetics?

Proof of Need

To help us verify eligibility for a free wig, please provide one of the following: -A copy of a medical record showing your cancer diagnosis -A letter from your oncologist or healthcare provider confirming your diagnosis and/or ongoing treatment -Any other official documentation from a medical professional that confirms your condition and need for support

Consent and Agreement

By signing below, you acknowledge and agree to the following terms: The wig or anything additionally purchased with the "Warrior Wig" Award provided is non-refundable, non-exchangeable, and cannot be converted to cash. It is sold "as is" and may not be returned or exchanged for any reason. I understand I must choose from our approved vendor list to redeem my Warrior Wig Award. The award can only be used at one vendor, and it cannot be split between multiple vendors. However, there is a wide variety of services, styles, and options available, both online and in-store, to ensure that every warrior can find the perfect fit for their needs. I consent to the use of my image and/or likeness on the organization's social media platforms and other promotional materials. I understand that this application does not guarantee the receipt of a wig, as the organization receives thousands of applications daily and allocations are subject to availability and eligibility. I confirm that I have read, understand, and agree to the terms outlined above.

I agree with the terms outlined above.

Consent and Agreement

Applicant's Name This serves as your signature confirming the form is complete and agrees with the terms.

If you would like to download the application to fill out and email to Warrior Wigs, you may do so below.

Download the Application