Join Teens Against Diabetes (TAD)

Join Teens Against Diabetes (TAD) — Interest Form

Share your interest to help TAD connect you with the right next steps (no enrollment or medical intake).
Who is completing this form?
Teen participant first name
First name only; leave blank for adult mentor/partner inquiries.
Participant age range
Parent/guardian full name

First NameLast Name
Contact email
example@example.com
Contact phone
Please enter a valid phone number.Format: (000) 000-0000.
City
ZIP
How are you connected to the TAD mission?
Which opportunities interest you?
What interests you about TAD, or how would you like to support it?
Availability
Organization and role, if applicable
Required Acknowledgments
I understand that this is an interest form only. Submission does not enroll, accept, or commit anyone to participation.
I understand that Teens Against Diabetes operates under Veterans Against Diabetes, Inc., and that youth activities require appropriate adult supervision and approval.
I understand that a parent or guardian must provide separate approval before any minor participates in Teens Against Diabetes activities.
I understand that Teens Against Diabetes provides education, encouragement, peer support, and referrals, but does not provide medical advice, diagnosis, treatment, medication management, or emergency services.
I authorize Veterans Against Diabetes, Inc. to use the information submitted only to respond to this inquiry and coordinate possible next steps.
Should be Empty:

Join Teens Against Diabetes (TAD) — Interest Form