Avanza Dream

Avanza Dream
Each year a meaningful dream is made real for one Arkansas child facing a terminal illness, uplifting the child, family, and community.

Bringing Hope, Dignity, and Joy

to Children Facing Life-Threatening Conditions
Refer a child to be considered for an Avanza Dream experience.

About Avanza Dream

Avanza Dream is a program of Avanza Arkansas dedicated to bringing hope, dignity, and joy to children facing life-threatening medical conditions. Each year, Avanza Dream may fulfill one to four dreams, depending on available funding and the scope of each dream experience.

We prioritize children from ALICE families (Asset Limited, Income Constrained, Employed). However, Avanza Dream is open to all eligible children regardless of race, ethnicity, background, or nationality. Every child deserves compassion and meaningful moments of joy.

Who Is Eligible?

Children must meet these criteria at the time of referral:

  • Diagnosed with a critical illness, defined as a progressive, degenerative, or malignant condition that is placing the child’s life in jeopardy
  • Older than 2½ years and younger than 18 years old
  • Reside within Arkansas

 

Notice (callout): Submitting this referral does not guarantee approval. All applications are reviewed confidentially by the Avanza Dream Review Committee.

No data was found
Avanza Dream
Date: Fundraising Period Jan - Jul
Location: Statewide coordination
Language: Bilingual
Free (application required)

Start a Child Referral

Referral Information
Who is making this referral? *
Other Referral
Referrer Full Name *
Relationship to Child *
Phone Number *
Email Address *
Organization / Hospital

Child Information

Child’s Full Name *
Date of Birth *
Age *
Gender
Primary Language Spoken at Home *
Home Address *
(City, State, ZIP)
Parent / Guardian Name(s) *
Parent / Guardian Phone *
Parent / Guardian Email *
Number of siblings *
Ages of siblings
Medical Information

Important Notice

A referral is considered a request to begin reviewing a child’s medical record to determine whether the child is eligible for Avanza Dream.

This form is designed to allow the referrer to include all relevant medical information, not only conditions that may qualify. The inclusion of a diagnosis does not automatically determine eligibility.

You will be contacted by Avanza Arkansas once eligibility has been reviewed and determined.

Medical verification documentation may be required before final approval.

Diagnosis *
Date of Diagnosis *
Is the condition considered life-threatening? *
Treating Hospital / Medical Center *
Primary Physician Name *
Physician Contact Information *
Additional medical details
The Dream
What is the child’s most meaningful dream? *
(Helper text examples: meeting a hero, visiting a meaningful location, special experience, receiving something life-changing.)
Why is this dream important to the child? *
Important Note

If the child is selected for Avanza Dream, the family will be asked to collaborate with Avanza Arkansas in helping coordinate logistics and may be requested to participate in photos, video documentation, storytelling, and testimonial sharing to support awareness and future fundraising efforts.

Confidentiality Statement

All medical and personal information will be treated as confidential and used solely for the purpose of evaluating and fulfilling an Avanza Dream request.
Avanza Arkansas is a registered 501(c)(3) nonprofit organization.

Sponsorship Levels

Friend of Avanza Dream

$ 500

  • Thank-you card from the family
  • 1 ticket for the Día de Muertos Gala
  • Community Sponsor

    $ 1.000

  • Social media recognition
  • 2 tickets for the Día de Muertos Gala
  • Hope Giver

    $ 2.000

  • Logo on all materials
  • Social media recognition
  • 3 tickets for the Día de Muertos Gala
  • Dream Maker

    $ 3.000

  • Name/logo featured on child’s journey and video
  • Logo on all materials
  • Website link
  • Social media recognition
  • 4 tickets for the Día de Muertos Gala
  • Impact Statement: Your sponsorship helps create an unforgettable experience for a child and family facing the unimaginable. With your support, Avanza Arkansas brings hope, dignity, and joy during some of life’s most difficult moments.