top of page

Request A Funded Pediatric Belt Cane

Join a project and obtain a fully funded standard pediatric belt cane

We are dedicated to provide a belt cane at no cost to as many children as possible. For children aged 14-56 months funded belt canes and $100 provided to complete the Soterix study. Additional free belt canes can be obtained with the Safe Toddles video project. Older children with mobility visual impairment or blindness can join Safe Toddles project. All belt cane users given access to the belt cane curriculum. 

CONTACT INFORMATION

 

PREFERRED METHOD OF CONTACT
PHOTO / VIDEO RELEASE. CHECK ALL THAT APPLY

SHIPPING ADDRESS

SHIPPING PREFERENCE

CHILD'S INFORMATION

CHILD'S MEASUREMENTS

Does child receive any of the following services:
If yes, where have the mobility devices been used?
Complete all fields to Submit the form, including uploading Consent Form for the study you have selected.

Thanks for your order!

bottom of page