Refer a B Happy Trip B the Difference

Who is eligible for a B Happy trip?

Young adults with a Neurofibromatosis diagnosis, aged 13 and up, living in the Contiguous United States. Self-referrals or referrals from immediate family members are not eligible.

Application Process

Please fill out the following form to the best of your knowledge. Thorough and detailed information will assist immensely. Please note, this is the first step in the B Happy selection process, it is not confirmation that your nominee will be selected for a trip. The information you provide will be received and you will be contacted by a B the Difference team member.

Covid-19 Protocol

Please note that for the safety of our recipients and hosts, we strongly recommend all eligible recipients be vaccinated against Covid-19. Please take this into consideration before your nomination.

All nominations are confidential.

Your Information
Your Name*
First Last
Your Email*
Your Phone*
Relationship to Individual*
Self-referrals and referrals from immediate family members are not eligible.
Nominee Information
Name of Nominee*
First Last
Gender of Nominee*
As it appears on photo ID (if applicable)
Age of Nominee*
Must be between the ages 13 to 30.
Hometown/State*
Nominee Contact Information (parent of guardian if under 18)
Parent/Guardian Name*
First Last
Email*
Phone*
What inspired you to recommend this individual?*
Has this individual been granted a Make-A-Wish? If so, when?*
Please add any additional information you feel we may need to know about this individual for our selection process. (Optional)
HIPPA Disclaimer*
Personal contact and medical information is protected by HIPPA laws. This family has given approval to share contact and medical information with B The Difference
- Yes
- No
How did you hear about B the Difference? (Please provide as much detail as possible)*

Your Information

Nominee Information

Nominee Contact Information (parent of guardian if under 18)