Request Services
In order for Mommy's Light to serve a child meeting these eligibility requirements, Mommy's Light must receive a Request for Services Application from the child's parent/guardian.

Mommy's Light serves children:

  • They are 3 and younger than 18 years old.

  • Their mothers have life threatening conditions or are deceased.

  • They live in the greater Delaware Valley area, including parts of New Jersey and Delaware or they have been accepted into our pilot program if they live outside the Delaware Valley region.

  • Their family must directly request Mommy's Light's support.

If you would like to request the services of Mommy's Light you must mail us a request for services application. You may download and print the application by clicking here (.pdf) or you may fill out the information below and we will mail you an application form:

* First Name
* Last Name
* Street
* City
* State
* Zip
* Phone
* Email
* Additional Comments
* denotes required field

Sitemap | About Us | Contact |Search | Legal & Privacy Statement

Mommy's Light | P.O. Box 494 | Lionville, PA 19353 | (610) 458-1690 | info@mommyslight.org