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  Back to Quilt for Life Quilt Submission Form

CWD Quilt for Life Logo

Instructions:
Complete the following Quilt Information Form for each quilt square that you send. Each quilt square should be 3 feet by 3 feet (about 92 cm by 92 cm). Quilts with batting hold up and display better than single pieces of fabric.

Important suggestions:

Each quilt should be for one person. Please do not send in one quilt for multiple people. Include the completed form with the quilt, and write your name on the back of the quilt and on any photos that you send.

Date:  
Quilt Square Made For:
(For Example, Child's Name):
 
Birthdate:  
Date Diagnosed:  
Parent's Name if above person
is under 18 years old:
 
Address:  
 
City, State, ZIP/Postal Code:  
Country:  
Phone:  
E-Mail Address:  


_______
Initial
I understand that the quilt becomes the property of Children with Diabetes and will be kept as part of the overall Quilt for Life. I understand that quilt squares will not be returned to me. I also understand that the quilt squares may be photographed and used as part of other CWD projects to raise awareness of type 1 diabetes, including press releases, flyers, and other printed matter.
 
Signature

Mail completed form, along with quilt square, to:

Children with Diabetes, Inc.
8216 Princeton-Glendale Road, PMB 200
West Chester, OH 45069-1675
USA

Please wrap your quilt in plastic before placing it inside an envelope or box to ship. This will protect it from getting wet in transit.

Updated April 21, 2015



                 
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Last Updated: Tuesday April 21, 2015 12:46:28
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