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To Reach Every Youth TREY

Application for Services

T.R.E.Y. welcomes you to apply...
Please have the person responsible for application complete this electronic form.

Applicant Name
Address
City
State
Zip
Contact Person
Contact Relation to Applicant
Caregiver Person
Caregiver Relation to Applicant
Telephone
Email Address
Diagnosis
Age As Of Today
Primary Treatment Facility
Tell Us About You, Your Goals, Likes, Dreams, Wishes
Electronic Signature*
Today's Date
*By submitting this form you are verifying that all the infomation is true. In the United States, electronic signatures have the same legal responsiblities as the traditional forms of execution of documents.
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Our Purpose and Mission is to share God's grace while providing recipients with items to enhance their quality of life along their journey. Because of the health issues they experience we want to contribute our knowledge, resources and discoveries along that common path. This we do in memory of our Son and Friend, Trey Von Sutton, who went home to be with our Lord and Savior on July 5, 2010.

Our Goal is To Reach Every Youth ages 18-24 years diagnosed with sarcoma by providing inspiration and encouragement while continuing God's work through Trey's story.

Currently, those who live in Texas, Arkansas, Louisiana, and Oklahoma are eligible. Areas of eligibility may expand to other states at a later date.

2011-2012 To Reach Every Youth, Texarkana TX 75505