New England Winter Relief

New England Winter Relief Fund

With so many things sadly being put on hold, including our Adaptive Ski Program, due to Covid 19, we want to help you have some fun!

We are excited to announce the JB's Keys to DMD New England Winter Relief Fund. This fund is to provide financial relief for young men living with Duchenne. This grant can be used at the family's discretion to improve the lives of the young men living with Duchenne. The funds awarded can be used toward recreation activities, gaming consoles, travel plans and anything else that makes winter more fun!

Up to thirty $500 grants will be awarded for the winter of 2020-2021, for qualified applicants.

The application deadline is December 1st, 2020 .

The award recipients will be chosen at random from all qualified applicants, and award winners will be notified via email on December 4, 2020.

General Eligibility Guidelines

Program Eligibility

All applicants must:
- Have been diagnosed with Duchenne Muscular Dystrophy
- Live in New England
- Be solely responsible for submitting all required application materials, at one time, on or before due date

Terms and Conditions

One application per person living with Duchenne
Void where prohibited by law. This program is subject to all federal, state, and local laws. It is at the discretion of the recipient to be familiar with these laws prior to acceptance.
JB's Keys to DMD reserves the right to change, discontinue, or cancel this program at any time without notice.

Email jb@jbskeys.org with any questions you have.

Application Deadline December 1, 2020

* Indicates required field

Name of Applicant *

First

Last

Phone Number of Applicant or Gaurdian *

Email of Applicant or Gaurdian *

I Confirm I Live in New England *

I Live in New England

Mailing Address of Applicant (Where Check Will Be Sent) *

Line 1

Line 2

City

State

Zip Code

Country

Name Check Should Be Made Out To *

Additional Requirements
Proof of Diagnosis: Applicants must provide proof verifying applicant's diagnosis of Duchenne Muscular Dystrophy. Upload a copy in space below.
*Diagnosis information will be kept confidential.
Follow Up : Applicants must email JB's Keys to DMD at jb@jbskeys.org sharing one fun thing applicant did with the awarded money. In the subject line write "New England Relief Fund".
*If you are willing to share a photo with social media please include one in the email

Proof of Diagnosis *

Max file size: 20MB

Select One: Follow Up Email Choice *

Confirmation of Affidavit Understanding with Signature : Applicant must confirm understanding of affidavit. By typing my name, or the name of my parent or legal guardian if I am under 18, I affirm that (1) I am a US citizen and/or legal and permanent resident of the US; (2)I live in New England
and (3) all the information provided in this application and supporting documents is true and complete to the best of my knowledge and none of the information provided, infringes the rights of any third party. If requested, I will provide proof. Failure to provide this proof shall invalidate this application and will result in termination of any award granted.

Signature Confirming Understanding of Affidavit *

First

Last

Confirm the following items are attached & Affidavit has been signed: *

Proof of Diagnosis Follow Up Email Choice Signature Confirming Understanding of Affidavit

Submit

Email jb@jbskeys.org with any questions you have.

relief

New England Winter Relief Fund

​Application Deadline December 1, 2020

JB's Keys to DMD, Inc.

Application Deadline December 1, 2020