Campus Tour Interest Form 2016
We invite you and your family to attend on Saturday, October 22nd from 12-5 PM at the University of Georgia!
Please RSVP by Saturday, October 9th. You will be able to register after this date, but we ask that you please submit a donation.

The event is free for families impacted by type 1, but we do accept donations!

We also invite you to join our Facebook event:
https://www.facebook.com/events/1079256388817757/

Tour schedule:
Check-in: 11 AM - 12 PM (1st floor of the Tate Student Center)
Start time: 12 PM
Opening information, speakers, and mingling time: 12 PM - 2 PM
Panels: 2 PM - 4 PM
Optional guided tour: 4 PM - 5 PM

Name
Your answer
Email:
Your answer
Birthdate
MM
/
DD
/
YYYY
High School Graduation Year
Your answer
Date of Diagnosis
MM
/
DD
/
YYYY
Endocrinologist/Healthcare Provider (provider name and practice name)
Your answer
Prospective Student Information
What high school do you attend?
Please include name, city, and state.
Your answer
Anything specific you would like us to know?
Your answer
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