Keith Burkett has a rare form of childhood cancer in his skull, shoulder, spine and liver which doctors fear will claim his life before the end of the year.
So the people of Stow, Ohio, US, pulled together to give him a Christmas he will never forget by decorating their homes, singing carols and dressing up as Santa.
The special day included a ride in a fire truck, a procession of more than a hundred cars decorated for Christmas and even a medal for bravery from the town's mayor.
Keith said: "It was awesome. The fire truck was my favourite part because I've never been in one before. I got to beep the horn."
His mum Taylore Woodard, a hair stylist, said: "Doctors had told me that they didn't know if Keith would make it to Christmas.
"He loves Christmas. His life has been taken up with cancer and medicines and I wanted my son to enjoy one last Christmas.
"So at the end of September, we made our house into a winter wonderland.
"We put lights up, candy canes, polar bears and Santas. We had a North Pole sign and put up a banner that said, 'Merry Christmas Kourageous Keith'."
Neighbours soon caught the Christmas spirit and began hanging their own decorations.
She said: "We noticed our next door neighbours put up some icicle lights and garlands and soon everyone was doing it."
Brandy Spreizer, who runs a local lemonade stand, arranged for more than 50 drivers to decorate their cars in honour of poorly Keith on Sunday.
Hundreds of people then gathered at Stow-Munroe Falls High School as Christmas music played and the crowds waited for Keith to arrive.
He was greeted at his home by friends dressed as Santa and elves from the North Pole.
He rode in a fire truck to the high school where he saw all the vehicles decorated in his honour.
Stow Councilman John Pribonic read a proclamation in Keith's honour and declared that October 21 was Keith Burkett Day. He was also given a medal from the mayor.
As Keith rode home, the high school choir sang Christmas carols including Silent Night, Jingle Bells and Santa Claus Is Coming To Town.
Taylore, married to Adam, 34, a painter decorator, first knew Keith was seriously ill when she took him to hospital on Christmas Eve in 2010.
He was five years old.
In May this year, doctors found it had spread to the skull, left shoulder, lower part of his spine, his pelvis and his liver.
Taylore, who is also mum to Adriana, seven, and Jax, six, said: "It's one of the hardest things anyone can watch.
"He's such a kind boy. It doesn't seem fair. I'm so glad that we were able to give him a proper Christmas."
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