2026 Dr. Mandy Harris Travel Grant

Dr. Mandy Harris Travel Grant

Application Instructions Please complete all required sections of this application, including your estimated travel costs. Travel estimates do not need to be exact but should be as accurate as possible based on current pricing. Be sure to include: - Estimated mileage if you plan to drive - Estimated airfare, train fare, or bus fare if you plan to travel by air, train, or bus. Any other requested travel informationIncomplete applications may not be considered for funding. Applications will not be accepted after the deadline. We expect demand for this grant to exceed available funding. Completing this application does not guarantee that you will receive a grant. Questions? Contact: Jen Patrick, Administrative Support Specialist, jen@thecutesyndrome.com Eligibility Requirement: Applicants must be members of the TCSF Family Network. If you are unsure of your membership status, contact Shelley Frappier at supportgroup@thecutesyndrome.com.
Contact Information
SCN8A Patient's Name

First NameLast Name
Applicant's Full Name

First NameLast Name
Relationship to SCN8A Patient
Is the Applicant a member of TCSF SCN8A Family Support Group?
Have you attended the Annual Gathering in person before?
Have you received a Dr. Mandy Harris Travel Grant before?
Do you plan to attend the 2026 Annual SCN8A Clinician, Researcher, and Family Gathering even if you are not selected for a Dr. Mandy Harris Travel Grant?
Are you a current TCSF Volunteer?
I am a solo adult traveler open to sharing a hotel room with another solo adult traveler.
If yes, do you have someone in mind?
SCN8A Patient's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Grant Request
Why is attending the 2026 Annual SCN8A Gathering important to you?
What financial challenges make it difficult for you to attend?
How are you involved in the SCN8A community?
Examples: support groups, volunteering, fundraising, attending events, supporting other families, or learning more about SCN8A.
Please list all individuals for whom you are requesting travel grant support. Travel fare assistance is limited to the SCN8A patient, up to two adult caregivers, and siblings.
Traveler 1 (include relationship to SCN8A patient)
Traveler 2 (include relationship and age if under 18)
Traveler 3 (include relationship and age if under 18)
Traveler 4 (include relationship and age if under 18)
GRANT OPTIONS

You may request up to two of the following travel support options:
Hotel Accommodations. Up to 3 nights at the Embassy Suites Denver Downtown 1 room (sleeps up to 6) valued at $209/night + taxes and fees (Approx. total value: $730 USD). TCSF will pay the hotel directly for up to 3 nights; you are responsible for extra nights, additional rooms, and incidentals.
Travel Fare Stipend (airfare, bus, train, etc.) – Solo Traveler (1 person) Up to $500 USD. Receipts are required for reimbursement. You will be reimbursed the actual cost of eligible travel fare or $500, whichever is lower.
Estimated total fare cost
Travel Fare Stipend (airfare, bus, train, etc.) – Family (2+ people) Up to $1,250 USD per family. Eligible travellers include the SCN8A patient, up to two adult caregivers, and the patient's sibling(s). Receipts are required for reimbursement. You will be reimbursed the actual cost of eligible travel fares or $1,250, whichever is lower.
Estimated total fare cost
Driving Reimbursement. Mileage reimbursement: $0.50/mile, not to exceed $750. Hotel parking covered for up to 3 nights. Mileage documentation required (odometer photos or route map)
Approximate round trip mileage
Additional Requests (Optional)
If your family needs help beyond what the grant usually covers, you can ask for that support here. Requests will be considered based on availability. Upfront payment and additional funds are not guaranteed even if you receive a grant.
Are you requesting that TCSF pay for travel upfront? Upfront payments are only made in special circumstances.
Please explain:
Do you need more financial support beyond the standard grant? If yes, please provide an itemized list of requests and estimated costs, as well as why you’re requesting additional assistance:
Submission

Applicant Acknowledgements and Agreement
All boxed must be checked for application to be considered
Name

First NameLast Name
Signature
Date

MonthDayYear
Date
Please verify that you are human
Should be Empty:

Dr. Mandy Harris Travel Grant

Contact Information

Grant Request

Please list all individuals for whom you are requesting travel grant support. Travel fare assistance is limited to the SCN8A patient, up to two adult caregivers, and siblings.

GRANT OPTIONS

Submission