Grant Application - Child

Children are the most vulnerable population when it comes to getting bit by a tick and contracting Lyme & other tick-borne diseases. Our mission at LivLyme is to provide financial grants to help children receive the medication and treatment they so desperately need.

Application for Financial Funding to Help Your Child with Lyme Disease (ages 21 and under)

Thank you for your interest in LivLyme Foundation’s Grant Kid Program.

Applications for the 2024 award year will close on Tuesday, October 31, 2023 at 12:00pm midnight MST.

Parent Information
Parent's Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code

Only families residing in the United States may apply
Home Phone*
Cell Phone*
Email*
Enter Email Confirm Email
Child Information

Child

Name	Birthdate	Actions

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Ticks can transmit Lyme and other bacterial, viral and parasitic infections in just a matter of minutes.

Grant Application - Child

Application for Financial Funding to Help Your Child with Lyme Disease (ages 21 and under)

Parent Information

Child Information