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MitoAction

Support, Education, Outreach and Advocacy for Children and Adults Living with Mitochondrial Disease

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Fatty Acid Oxidation Disorders
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2026 MitoSantas Application

Please fill out a separate application for each child. Applications can be submitted for children 18 and younger affected by mitochondrialRelated to the mitochondria. disease and siblings 16 and younger who are not affected. The spending limit is $50 per child.

Help our MitoSantas elves find the perfect gifts! Please be as detailed as possible when listing your child’s interests, hobbies, favorite items, or specific requests. Including specific brands, styles, colors, sizes, and direct website links helps our donors fulfill your child’s wishlist accurately.

Applications must be submitted no later than 5:00 pm EST on November 20, 2026.

Submitting an application does not guarantee approval for the MitoSantas program

"*" indicates required fields

X/Twitter

This field is for validation purposes and should be left unchanged.

Your Name*

First Last

Email*

Phone*

Shipping Address*

This is the address where your child’s gifts will be sent between now and December 20th.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Child's Name*

First Last

Is the child a past recipient of the MitoSantas program?*

Yes

No

If YES, which years was the child a recipient?*

The following section should be answered about the above named child.

Is the nominated child a patient or sibling?*

Does this child have mitochondrial disease?*

What is their specific diagnosis?

Alper’s Disease

Autosomal Dominante Optic Atrophy (ADOA)

Barth SyndromeA rare, genetic disorder of lipid metabolism that primarily affects males.

Beta-Oxidation Defects

Carnitine Deficiency

Chronic Progressive External Ophthalmoplegia (CPEO)

Complex I Deficiency

Complex II Deficiency

Complex III Deficiency

Complex IV Deficiency

Complex V Deficiency

CoQ10 Deficiency

CPT I Deficiency

CPT II Deficiency

Creatine Deficiency Syndrome

Fatty Acid Oxidation Disorders (FAOD)A group of genetic conditions that affect how the body breaks down fats to make energy.

Friedreich’s AtaxiaFriedreichs Ataxia

Kearns-Sayre Syndrome (KSS)

Lactic Acidosis

LCAD

LCHAD

Leigh’s Disease

Leukodystrophy

LHON

LHON Plus

Luft Disease

MCAD

MELAS

MEPAN

MERRF

MIRAS

Mitochondrial Cytophy

Mitochondrial DNA Depletion

Mitochondrial Encencephalopathy

Mitochondrial Myopathy

MNGIE

(MAD)' id='choice_102_23_41' /> Multiple Acyl-CoA Dehydrogenase Deficiency (MAD)

Multiple Mitochondrial Dysfunction Syndrome

NARP

Pearson SyndromeA rare disease that targets the bone marrow and pancreas. Through dysfunction of cells in the bone marrow that produce white and red bloods cells along with platelets.

POLG Mutationsgenetic variant, genetic change

Primary Mitochondrial Myopathy

Pyruvate Carboxylase Deficiency

Pyruvate Dehydrogenase Deficiency

Pyruvate Dhydrogenase Complex Deficiency (PDCD)

SCAD

SCHAD

Thymidine Kinase 2 Deficiency (TK2)

VLCAD

Undiagnosed

Other

Does this child have any of the following special needs?*

Blindness

Deafness

Autism

Developmental disabilities

Other

None

Please indicate any additional special needs.*

Please indicate the name(s) of the patient associated with this sibling.*

Birthday*

Favorite Color*

Favorite Characters / Animals*

Favorite Sports Team(s)*

Favorite Snacks / Food Treats*

Please keep in mind that these are items that should be able to be mailed.

Pant Size*

Please specify toddler, youth or adult

Shirt Size*

Please specify toddler, youth or adult

Shoe / Sock Size*

Please specify toddler, youth or adult

Specific Gift Requests*

Please be as specific as you can and include brand, color, etc. Feel free to include links if available. You may list up to four items but remember the $50 limit. Please note first choice.

Sometimes store pick-up is needed for gifts. Which of these stores, if any, are you able to pick up from? Please select all that apply.*

Target

Walmart

Best Buy

Michaels

None

If chosen, we ask that you send us a picture(s) of your child with the gifts so that we can share them with our donors. No identifying information will be shared. Do you agree to allow us to share the pictures on our website, Facebook page or in emails to our donors?*

Would you like to sign up for our mailing list?*

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