Information Form

Please tell us about yourself or the person that you feel will benefit from the services offered through “Bathed with Blessings.” 
We truly want to help as many people as possible with this program and will do all we can as the funding allows. You can also help the funding process by sharing this with others that would like to help. 

Please share this link:
Fundraiser by Jim White : Help others get the accessibility bath they need! (gofundme.com)