Kids for a Cure Lobby Day - Home Edition

Application Form

Parent\Guardian Consent

By submitting the online application I, as a parent or guardian, I agree to abide by the rules, conventions, and terms of JDRF’s Kids for a Cure Lobby Day:

  • Allow JDRF to use my child’s name and story in print, radio, television, internet (with appropriate safeguards), and in any other appropriate media to promote JDRF’s mission and goals.
  • Applicants must be committed to further developing a relationship with their Member of Parliament (MP) after lobby day is over.

I also indicate my understanding that:

  • There may be discussion of the complications of diabetes during JDRF’s Kids for a Cure Lobby Day.
Lets turn type one into type none