***Please Note*** We review applications quarterly. Our next application review will take place in November 2019. We are in a continual process of raising funds to be able to distribute carriers to families with children with developmental disabilities. Y
By clicking this box, I agree that I am in financial need of a donated carrier and I understand that Lift Me Up in no way guarantees provision of a carrier nor guarantees provision of a specifically requested brand of carrier. Depending on your needs, you *
Terms and Conditions (ALL of the following must be agreed upon for your application to be reviewed) *
My child has developmental disabilities and would benefit from a babywearing carrier.
My family does not own a babywearing carrier.
If I obtain a carrier, through my own means, in the time it takes for Lift Me Up to fully process my application, it is my duty to notify Lift Me Up and rescind my application.
If accepted to the Babywear To Thrive program, I realize that I am part of a greater movement to bring awareness to babywearing benefits for families who have children with disabilities. I will support this movement through a written testimonial and/OR photo of my carrier in use.
I agree to pay $10 to Lift Me Up, Inc. as a shipping fee for my babywearing carrier if my application is approved and a babywearing carrier is assigned to me. Non-payment, refusal of payment and/or failure to e-mail Lift Me Up, Inc. and arrange payment within 48 hours of receiving the PayPal invoice will result in disqualification and a babywearing carrier will not be sent out.
I agree to these terms and conditions.
TERMS AND CONDITIONS Lift Me Up: Babywearing to Thrive provides babywearing carriers, free-for-shipping, to families who have children with developmental disabilities. Families who apply should not own a carrier. If you obtain a carrier through your own means in the time it takes for Lift Me Up to provide you with a carrier, you are required to notify Lift Me Up and rescind your application. If you are found to be falsifying information on your application and/or selling a Lift Me Up carrier, you will be invoiced for the full retail amount of the carrier. These carriers are not for resale. When you are finished using your carrier, you are expected to ship it back to Lift Me Up, Inc. Each family may apply for a carrier through this organization one time. Incomplete and/or duplicate applications will not be processed. In applying for a carrier, you are a part of a greater movement to bring awareness to the health benefits and caregiver respite that babywearing can provide for families who have children with disabilities. Therefore, Lift Me Up requests that each family who is accepted to receive a carrier, submit a written testimonial and/or photo of their carrier in use via email or Facebook to further the mission of the organization. For those eligible, decisions will not be based on socioeconomic status, race, color, national origin, marital status, sexual orientation, gender, political or religious opinion or affiliation. Lift Me Up has more applications than available donations. Decisions to approve or deny any application are in the sole, absolute discretion of Lift Me Up, Inc. The approval or denial can take place at any time for any or no stated reason. Because eligibility is dependent, in part, on the disability and age of the applicant and/or the applicant’s child(ren), decisions will be based on these classifications in accordance with the law and the manufacturer’s instructions. Lastly, more than one carrier type may work for you and your child. We provide the following types of ergonomic carriers: soft structured carriers, ring slings, wraps, and mei tais. Upon application approval, we send the carrier type that matches your needs the best, based on your application and what we have available. We expect you to take the time to learn about your new carrier via manufacturer instructions and local babywearing meetings. Please consider that there is no guarantee in the type of carrier you may receive. You may receive a used carrier donated by a third party and sent directly to you by the third-party through the Lift Me Up LINK. Lift Me Up, Inc. has not screened or verified the third party donors or made any warranties or guarantees about them or his/her/its babywearing carrier. By filling out this application, your full name, shipping address and e-mail information may be shared with a third party donor through the Lift Me Up LINK. You hereby grant Lift Me Up Inc. permission and authorization to share your full name, shipping address, and e-mail information to third party donors and release Lift Me Up, Inc. from any liability or damage that may result from furnishing the information requested. If assigned a carrier through the Lift Me Up LINK, a used babywearing carrier will be mailed to you directly by a third party donor, who has been selected by Lift Me Up, Inc. as the most appropriate donor to fulfill your particular needs based solely upon the information provided by you, the third party donor, and the products available for donation. Through the Lift Me Up LINK, Lift Me Up, Inc. has never been the in the possession of or otherwise examined the carrier provided by the third party donor; rather, the third party donor warrants that it is donating a carrier that is in usable condition and safe to be worn and includes manufactures instructions. The shipping fee for families receiving a third party carrier will be waived as the shipping cost of the carrier is donated with the carrier by the third party.
Name of Parent/Caregiver *
Mailing Address *
(please minimize abbreviations and double check to make sure this is correct before submitting)
Do you have any babywearing experience? Please explain. *
Do you have any babywearing experience? Please explain.* *
Please check any carrier you currently own. *
Please tell us about your child with disabilities. *
Diagnosis, developmental concerns, current therapy, precautions, and/or contraindications. More information may be requested via contact information you provide.
How will babywearing help you to care for your family? *
Please include any other information that will help us to better select a carrier for your family.
We provide the following types of carriers: soft structured carriers, ring slings, wraps, and mei tais. If you have experience with a carrier that DID or DID NOT work for you and your child, please indicate that here.
To better select a carrier for you, what is the shirt size of the primary wearer? *
How did you hear about us? *
Local Babywearing Group
er of Liability, Release and Hold Harmless Agreement *
Waiver of Liability, Release and Hold Harmless Agreement In consideration of applying for, accepting the grant of a baby carrier by Lift Me Up, Inc., a non-profit organization or accepting a baby carrier from a third party donor through Lift Me Up, Inc.’s Lift Me Up LINK, and using said baby carrier (“Activity”), I hereby represent, covenant, and agree on behalf of myself, my minor child(ren), who will be carried using said baby carrier, and my heirs, assigns, and any other person claiming by, under or through me, as follows: 1. I acknowledge that participating in baby wearing using said baby carrier could involve certain risks and that injuries, death, property damage or other harm could occur to me, my child(ren) or others. I accept and voluntarily incur all risks of any injuries, damages, or harm which arise during or result from my participation in the Activity, regardless of whether or not caused in whole or in part by the negligence or other fault of Lift Me Up Inc., and each of their related, constituent or affiliated entities, including each of their directors, officers, agents, volunteers, and third party donors through the Lift Me Up LINK ("Released Parties") 2. I acknowledge that I have been granted said baby carrier by Released Parties based upon representations made by me in my application for the grant. I further acknowledge that I have been provided the manufacturer’s instructions along with the baby carrier and that I will read and fully understand the manufacturer’s instructions, and use said baby carrier in accordance with the manufacturer’s instructions. 3. I hereby waive all claims against any of the Released Parties for any injuries, damages, losses or claims, whether known and unknown, which arise during or result from my participation in the Activity, regardless of whether or not caused in whole or part by the negligence or other fault of any of the Released Parties. I release and forever discharge the Released Parties from all such claims. 4. I agree to indemnify and hold the Released Parties harmless from all losses, liabilities, damages, costs or expenses (including but not limited to reasonable attorneys' fees and other litigation costs and expenses) incurred by any of the Released Parties as a result of any claims or suits that I (or anyone claiming by, under or through me) may bring against any of the Released Parties to recover any losses, liabilities, costs, damages, or expenses which arise during or result from my participation in the Activity, regardless of whether or not caused in whole or part by the negligence or other fault of any of the Released Parties. 5. It is my express intent that this Waiver of Liability, Release and Hold Harmless Agreement shall bind members of my family and spouse, if any, if I am alive, and bind my heirs, assigns and personal representatives, if I am not alive. I expressly agree that this Agreement is intended to be as broad and inclusive as permitted by the laws of the State of Maryland and that, if any portion hereof is held invalid, I agree that the balance shall continue in full force and effect. I hereby further agree that this Agreement shall be construed in accordance with the laws of the State of Maryland. 6. I have carefully read and reviewed this Waiver of Liability, Release and Hold Harmless Agreement. I understand it fully and I execute it voluntarily. Your typed full name and date in the space below serves as your signature; that you have read and agree with this waiver.
Your typed full name in the space below serves as your signature. *