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Request a Fully Funded
Pediatric Belt Cane

Join a project and obtain a fully funded Standard Pediatric Belt Cane

Safe Toddles is committed to improving the lives of families with children born blind through the provision of the medically necessary Pediatric Belt Cane. The videos and feedback provided through this important grant-funded project ensure we continue to listen to and learn from our most precious resource, children with a mobility visual impairment or blindness and their families. Please complete an in-take form to obtain a fully funded (free) Belt Cane.

Begin with child's measurements, for help review our standard size chart for how-to measure children for their Belt Canes. An accurate fit is vital.

Participant Intake Form

(upload doc or pdf files only)
PREFERRED METHOD OF CONTACT
PHOTO / VIDEO RELEASE. CHECK ALL THAT APPLY
SHIPPING PREFERENCE
Does child receive any of the following services:
If yes, where have the mobility devices been used?

Complete all fields to Submit the form. Bill will be in touch shortly or you can reach out info@safetoddles.org - 845-244-6600 or 845-522-7002

Thanks for your contribution to a Brighter Future for all blind babies!

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