145 Myers Hill Roadbrunswick, GA 31523

1Boy4Change

145 Myers Hill RoadBrunswick, GA 31523

Office (912)279-0440

Fed ID#20-3955394

Warrior Beads

You will receive your child’s first name or nickname, bead string, and then the beads for the medical treatment or event. Use this form to order more beads when your child needs them.

Name of 1B4C Warrior:
Mailing Address:

Doctor Visit/Clinic Visit – Dark BlueNumber of beads:
In Patient Hospital Day – YellowNumber of beads:

P.I.C.U. or I.C.U. – Gold Number of beads:

Isolation or Bedrest – TanNumber of beads:

ER Visit – RedNumber of beads:

Ambulance or Life Flight – WhiteNumber of beads:

Needle Sticks – BlackNumber of beads:

Port or PICC – SilverNumber of beads:

IV or Infusions – OrangeNumber of beads:

Head Shaved or Hair Loss – Dark BrownNumber of beads:

NPO – Light BlueNumber of beads:

X-Ray, CT, MRI, Etc. – OliveNumber of beads:

Lumbar Puncture – Dark RedNumber of beads:

Surgery – StarsNumber of beads:

Respiratory Support – PinkNumber of beads:

Feeding Tube – GreenNumber of beads:

Therapy – OT, PT, Speech – Brown/KhakiNumber of beads:

New Wheelchair, Walker, Etc. – MagentaNumber of beads:

Dressing or cast changes – GrayNumber of beads:
EEG, VEEG, Sleep Study, etc. – Clear purpleNumber of beads:

Seizures – PurpleNumber of beads:

Travel far from home – Sea AnimalNumber of beads:

Eye Patches, Glasses or Contacts – ClearNumber of beads:

Braces and Splints – Grayish BlueNumber of beads:
Chemotherapy – Clear blueNumber of beads:

Radiation – Clear greenNumber of beads:

Blood transfusion – Clear redNumber of beads:
Days of school or work missed – Clear yellowNumber of beads:
Hearing aid/sign language – RootbeerNumber of beads:

Sightcane/brail – Lime greenNumber of beads:

Flashbacks, panic or anxiety attacks, nightmares – Glow in the darkNumber of beads:

50 Bead Club for Therapy – when you reach fifty in any category of therapy you will receive a 50 Bead Club from Chris. Number of beads:

100 Bead Club – when you reach a hundred beads in any one category then you can request a 100 Bead Club from Chris - Chris’s Choice

Category in which reached: Number of beads:

Act of Bravery – overcoming a huge obstacle or medical challenge, something that made everyone say “wow, look what ______did!!!!!”
Special surprise bead when you share the event with us!Number of beads:
Story (use additional paper if needed):

Angel Bead for the loved ones to complete a warrior’s journey:Yes _____

If there is something your child has gone through and not listed, please let us know – we really want to recognize their entire journey!

Blessings,

Chris & SD Bronx
1Boy4Change

We walk by faith, not by sight. 2Corinthians 5:7