Diabetes Ireland > REGISTRATION FOR CARE PROGRAMME: 13 – 18 year olds – DECEMBER 2025

REGISTRATION FOR CARE PROGRAMME: 13 – 18 year olds – DECEMBER 2025

Registration Details for CARE Programme (13-18 YEARS) - Type 1 Diabetes December 2025 (1)

"*" indicates required fields

Person Attending Details*

Title First Last

DOB

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number*

Email*

Please confirm you are the parent of a child with type 1 diabetes age 13-18 years old?*

Yes

Please confirm that you are available to participate in both sessions*

Yes

Please confirm you are happy to be contacted by phone and/or email by Diabetes Ireland*

Yes