Diabuddies School Tour Registration Form
This form aims to capture your interest in our program tour of Diabuddies school engagements. Below is some information about what our tour is. We are now evaluating for a 2018 tour, and the regions we reach will depend on interest so sign up and share this with your community!

Ciera - VP @ Peel District School Board ~ Glucagon Training ~
Maren & Lizzie
Presented to Eli-Lilly on the importance of glucagon in schools to Nasal Glucagon Advisory Board
Letter from Dr Mahmud on the importance of glucagon training
TCDSB Policy and procedure created and approved
Workshop Pilot
Family Support

Our Pilot successfully reached 16,000 students and earned testimonials from school teachers, principals, and school board specialty staff. More importantly, it granted empowerment to families through helping students with T1D to shine while promoting a growth mindset. We witnessed the heroic efforts of kids with T1D overcome challenges in life and school with our support.

Our goal is to bring infrastructure and expertise to schools across Canada in order to improve the safety and enrichment of children with T1D. We've assisted schools with breaking down stigma and stereotypes, building teams of educators specifically trained on daily T1D management, helping teachers recognize the volatility of this disease, and changing official policies regarding trained support for T1D's so that they may attend field trips without their parents.

We are changing the reality of youth with T1D into what it should have always been: safe, supported, and informed. What our tour specializes in is positive energy and the undeniable presentation of information. Peers and entire schools wind up thinking "how can we help" which results in a more inclusive school environment.

Staff and students who have experienced our tour feel that it strongly promotes a sense of community and empowers people to support each other despite differences. With powerful visuals and education on diabetes, we have transformed ignorance into actions that bring teams together.

We look forward to following up with you.
Email address *
School Name: *
Your answer
School Board:
Your answer
School Address: *
Your answer
Teacher's Name:
Your answer
Is this request being filled by:
Contact's phone number
Your answer
Are there other students known with T1D at your school?
(*Leave blank if unsure, when organizing, request that your school inform parents of other T1D children and invite them to participate)
Name of Student(s) with T1D:
Your answer
Are you interested in a presentation (check all that apply)
Approximate # of kids in your school:
Your answer
Grade of Student(s) (if multiple, please select the youngest):
Are there any specific issues you would like to be targeted during the speech?
Your answer
How important do you feel educating your class and teachers about diabetes is on a scale of 1 to 10? *
Not important
Very Important
What would you rate your school's accommodations and support for your child thus far? *

Is there anything else you would like to tell us?
Feel free to be constructive with criticism and/or share your ideas with us! 

Your answer
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