Mod Squad Diabetes Camp Tuition Grant Application

T1D Mod Squad takes pride in being able to give grants to T1D kids so they may attend diabetes camp. We believe strongly in the benefits of camp and want to make sure that as many kids as possible get the summer camp experience. We know that camp can be costly and want to give out summer camp tuition grant to offset the cost.

Parent's Name

Child's Name

How long have you been a member of T1D Mod Squad?

Name of T1D Camp your child would like to attend

Address of T1D Camp your child would like to attend

Name of Camp Director

Telephone No.

Cost of Tuition

Your Email

T1D Mod Squad takes pride in being able to give grants to T1D kids so they may attend diabetes camp. We believe strongly in the benefits of camp and want to make sure that as many kids as possible get the summer camp experience. We know that camp can be costly and want to give out summer camp tuition grant to offset the cost.

1. In a few words, please explain why you decided to apply for the T1D Camp Tuition Grant and how do you plan on paying the rest of the camp fees.

2. In a few words, please describe why your child wants to go to camp and how this experience would benefit him/her. If your child is older than 8 yrs of age, please have your child answer.