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Application

The primary goal of Moment of Peace Adventures is to give your child a Moment of Peace. If accepted, your child and at least one parent will be treated to an all-expenses paid hunting or fishing adventure! Each adventure is tailored to your child’s situation and abilities. Your adventure will also include pictures and videos taken during the adventure that will then be used to create a photo album and DVD so you can share your adventure with family and friends! Depending on the adventure you are interested in, hunting or fishing, a mount of your trophy as well as standard processing are included. The most important thing about your adventure is that our goal is to give your child and you a Moment of Peace! To try and forget about doctors, hospitals, and treatments. To make memories that will last a lifetime and new friends as you are welcomed into the MOPA Family!

Eligibility Requirements:

  • Child must be 18 or under at time of submission of the application.
  • Child must have or had a life-threatening illness or severe physical disability.
  • This application must be filled out by a parent or legal guardian.
  • MOPA Representatives must be able to work with and communicate with the child during the adventure. Safety of the child and MOPA reps is our top concern on the adventure! The adventure is to be a Moment of Peace for the child and parent/legal guardian on the adventure. If the activities will be too stressful for the child, it’s not a Moment of Peace. There are some children or illnesses, or disabilities that we may just not be equipped to handle. If denied, we will try to give references to other organizations.
  • An interview between MOPA representatives and the applying family will be conducted to determine eligibility.

Download Application Form

Please enter the name of the youth.

Please enter the youth's date of birth.

Please enter the youth's address.

Please enter the youth's city.

Please enter the youth's state.

Please enter the youth's zip code.

Please enter the youth's county.

Please enter the youth's height.

Please enter the youth's weight.

Please enter the youth's t-shirt size.

Please select the sex of the youth.

Please enter the name of the Parent/Guardian.

Please enter the relationship of the Parent/Guardian.

Please enter the phone number of the Parent/Guardian.

All applications are reviewed the second Wednesday of the month at our Officers/Board Meetings. If an application is received that is deemed an emergency ASAP adventure, the Board of Directors will begin reviewing the application immediately and not wait for the Officers/Board Meeting.

What Adventurers Say

Thank you for helping our oncology families throughout the year. You are appreciated every day!

Children's Hospital of Philadelphia

Thanks for letting us go on this amazing trip! We had so much fun. It was both exciting and peaceful!!! Having Brian and Carson both get their first deer the same day was pretty cool! We made many memories we will never forget! Thanks so, so much!

The Isamoyer Family

Thank you for taking me on my hunting adventure! I had a wonderful time! It was cool that I shot my first deer and my dad, did too! My deer was very huge! Thank you.

Carson Isamoyer

I would like to thank everyone involved for making my hunt a great experience. Everyone was friendly and made me and my Dad feel at ease. You made me feel special for the day. You have a great organization. Thank you!

Phillipp Wolff Jr.