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
Age of Child
Name of parent or legal guardian
Email of parent or legal guardian
Phone number of legal guardian
Current address of legal guardian
Address of child if different than legal guardian
What type of cancer is the child diagnosed with?
Date of first diagnosis
Date of most recent diagnosis
Hospital child is being treated at
How did you hear about us?
How can we help you?
Tell us about your hero. Hobbies, likes, dislikes.
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.
Send me a copy of my responses.
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