Naja Comfort Bags

Sickle Cell Patient
Comfort Bag Application

We’re here to support you.

Naja Comfort Bags provides thoughtfully prepared comfort bags for individuals living with sickle cell disease. Complete this application to request a place on our waitlist.

Submitting this application does not guarantee that you will receive a comfort bag. Applications are reviewed based on eligibility, available supplies, funding, sponsorships, location, and waitlist order.

A Naja Comfort Bag with a teddy bear, backpack, water bottle, socks, pillow, eye mask, and lip balm

1. Applicant Information

Preferred Contact Method*

Applicants under age 18 must have a parent or legal guardian complete the form.