This study examined the impact of a rock climbing program on youth with type 1 diabetes. The study utilized a mixed-methods quasi-experimental research design to measure subscales of the American Camp Association Youth Outcomes Battery on independence, perceived competence, and friendship skill. Pre- and posttest instruments were utilized over a 4-month period. The small sample size revealed significance for friendship skills, but also showed improvements after participants attended three sessions perceived competence and independence. This pilot study provides evidence-based practice of a new type of program that can be used for future studies to build upon.