Team Bradley Bear Foundation Inc.
Financial Assistance Application 

The Team Bradley Bear Foundation supports pediatric children and families who are faced with a life-threatening illness including ATRT, medulloblastoma, or similar brain tumors.

The TBB Foundation Financial Assistance Program provides financial assistance to families with financial needs resulting from expenses associated with their child’s brain tumor treatment and other pediatric cancers.

The financial assistance is for children and families battling a form of brain cancer or other pediatric cancers and must meet the following criteria:

  1. The patient must be a child. (defined as a person under the age of 18 at the time of diagnosis.)

  2. The patient must be undergoing treatment for a brain tumor or other pediatric cancer within the United States.

*The Team Bradley Bear Foundation Financial Assistance Program supports pediatric children faced with a brain tumor as first priority, and other pediatric cancers as a second.

Financial assistance is limited and based on availability. Applications will be processed in the order received. All information is strictly confidential. Once reviewed, the Team Bradley Bear Foundation Inc. will contact the person requesting assistance.

In order to receive assistance  (housing, medical bills, treatment, etc.) a copy of the bill must be provided.  A letter from a social worker, nurse or doctor explaining the child's diagnosis, family situation and treatment is MANDATORY and must be uploaded or sent via email to info@teambradleybear.com. This must be received in order for the application to be complete. 

I have read the above and understand the criteria. 

APPLICANT INFORMATION
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ASSISTANCE REQUESTED

Please check what type of assistance is needed at this time. If the request is to pay a bill, please include the bill. 

Assistance
HOUSEHOLD INCOME 
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MEDICAL INFORMATION

*A letter from a social worker, nurse or doctor explaining the child's diagnosis, family situation, and treatment plan is MANDATORY and must be sent via email or attached below. This must be received in order for application to be complete. 

INSURANCE INFORMATION 
What type of insurance?
OTHER INFORMATION
FUNDING PROCEDUES

Team Bradley Bear Foundation will contact you by phone or email once the completed application has been received and reviewed to determine if you qualify and have been selected to receive funding. *You may apply annually.

AUTHORIZATION

I authorize that the information provided in this application is true and correct as of the date set forth and that any intentional misrepresentation of the information contained in this application will result in loss of current and future financial assistance from the Team Bradley Bear Foundation.

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Thanks for submitting your application. TBB will review if complete.

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