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Dialysis Application Form

High Seas Rally Dialysis Fund

Thank you for your interest in joining the 2022 High Seas Rally Dialysis Fund Program.  Each year, the Dialysis Fund selects up to 10 deserving individuals to provide an all-expenses paid vacation of a lifetime including needed dialysis treatments during the sailing.  If you wish to apply to join the 2022 sailing, please complete the online application no later than July 7, 2022.

Please note, incomplete forms will not be processed. Patients selected to participate in the 2022 High Seas Rally Dialysis Fund Program will be notified on or before August 15, 2022.

High Seas Rally Dialysis Fund is a DBA of Navigare Cares, Inc., a Maryland not for profit corporation in the process of applying for 501(c)(3) status.

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