Team Nathaniel Application for Financial Assistance
Team Nathaniel is a non-profit created to help families battling pediatric cancer. Our primary focus is to help families seeking trials or alternative medications in their fight for their child’s survival. We also understand how stressful it can be to not have basic needs met. With limited funds available each year, we are not able to honor all requests, but will do our best to provide what we can based on funding availability. Please note that if you are selected for funding, we may request a note from your child's doctor/nurse/child life specialist to verify that your child is a patient.

In order to qualify for funding child must be 0-20 years old at time of application, be a Colorado resident with at least one recurrence
Name of Child
Your answer
Age of Child
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Name of parent or legal guardian
Your answer
Email of parent or legal guardian
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Phone number of legal guardian
Your answer
Current address of legal guardian
Your answer
Address of child if different than legal guardian
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What type of cancer is the child diagnosed with?
Your answer
Date of first diagnosis
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Date of most recent diagnosis
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Hospital child is being treated at
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How did you hear about us?
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How can we help you?
Your answer
Does Team Nathaniel have your permission to share your story and photos---Team Nathaniel will not share this information with any vendors or 3rd parties.
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