Our Mission:

"To provide hope through programs, services and research to all Mississippians with diabetes- from our children to our seniors."

Learn more about students with diabetes in the classroom.

Learn more about our kids' programs and services

Also, download our Quick Reference Emergency Form

The Diabetes Foundation of Mississippi has worked with the Department of Public Safety to make sure our drivers are safe when they are on the road. Drivers with diabetes have the opportunity to get a driver's license and/or a license plate indicating that they have diabetes.

Click for more.

Camp Kandu Registration

* Indicates required field.

Your Information

Child's Name *
Sex
Male Female *
Age *
Date of Birth Day: Month: Year: *
Parent/Guardian
First Name *
Parent/Guardian
Last Name *
Address 1 *
Address 2
City *
State *
Zip Code *
Phone 1
Phone 2
Email *
How did you hear about us? *

Medical Information

Emergency Contact *
Phone *
When was your child diagnosed?
Type/Brand of
Insulin used *
Insulin Type
Pump Injection *
Insulin Schedule: *
Any insulin reactions, physical limitations, allergies: *
Does child use EpiPen? Yes No
If Yes, please bring with you to camp.
Other Medication: *
Favorite Food/Snacks:
Can child swim? Yes No *

Parent/Guardian or Additional Campers Attending Information

Parent/Guardian 1 *
Male Female
Parent/Guardian 2
Male Female
Parent/Guardian 3
Male Female
Parent/Guardian 4
Male Female
Additional Camper 1
Male Female
Additional Camper 2
Male Female
Additional Camper 3
Male Female

Camp Kandu T-Shirt Information

Please indicate quantity next to the appropriate size
Youth: S: M: L: *
Adult: S: M: L:
XL: XXL: 3X: *

Payment Information

Fees:
Child with Diabetes: Free
Overnight Stay Cost: (Parent or Adult $20 / Sibling or Friend: $15)
Saturday Only Cost: (Parent or Adult $20 / Sibling or Friend: $10)
Time of Stay Overnight Saturday Only *
Credit Card Visa Mastercard American Express *
Credit Card Number *
Credit Card
Security Code *
Expiration Date Month: Year: *