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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 blind babies through the provision of innovative white cane solutions. Your contribution of videos and feedback ensure we continue to listen to and learn from our most precious resource, blind babies. 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)
(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 - 945-244-6600

Thanks for your contribution to the Future of Blind Babies!

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