Apply for Funding

We welcome families to fill out our online application form. We'll be in touch after our board has had a chance to review your application. 

Examples of what The Claudia Cup Foundation will provide funding for (please note these are examples only and funding is not limited to the following):
Equipment - purchase and repairs (wheelchair, walking aids, braces, and other equipment to improve the recipient's quality of life)
Childcare
Therapies such as music therapy, physiotherapy, etc.
Medication not covered by health plans
Travel and accommodation related to medical treatments and procedures
*The Claudia Cup Foundation will evaluate each application on a case-by-case basis. Items in this listing are subject to change without notice.

If you have any questions, please email theclaudiacup@gmail.com.

Applicant Name *
Applicant Name
This could be the funding recipient or someone on behalf of the recipient.
Applicant Phone Number *
Applicant Phone Number
Appliant Address *
Appliant Address
Recipient Name *
Recipient Name
This is the individual requiring funding.
Recipient Date of Birth *
Recipient Date of Birth
Recipient Address
Recipient Address
If different from applicant
Are you the recipient's mother, father, grandparent, aunt, uncle, teacher, friend, etc?
Please provide the total amount of funding you are applying for, including tax.
$
Is there an immediate need? Are there any key dates to mention?
Please provide us with any information you think would help us in evaluating your application.
Are you looking to purchase or repair a piece of equipment? Need assistance with caregiver, medical, or treatment costs? Please be as descriptive as possible.
Please be as descriptive as possible.
Are you receiving funding from other organizations? *
Thank you for applying to The Claudia Cup Foundation. Because of our limited funds, unfortunately all applications may not receive funding. You will be notified in writing if your application is successful.