Used Carrier Donation Form

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 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 to receive a carrier through Lift Me Up, Inc or a third party 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. We provide the following types of ergonomic carriers: soft structured carriers, ring slings, wraps, and mei tais. Upon application approval, we match your carrier with a recipients that matches their needs best. By filling out this application your full name, shipping address and e-mail information may be shared with a third party through the Lift Me Up Link. Lift Me Up, Inc. has not screened the third party or made any warranties or guarantees about them. 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. 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 you, the third party donor; rather, you warrant and represent that you are donating a carrier that is in usable condition and safe to be worn and includes manufactures instructions. The babywearing carrier must be verified to not be a counterfeit carrier by you. If matched with a recipient it required of you to send the carrier within seven days of receiving their shipping information. It is required you e-mail the recipient tracking information within 24 hours of mailing the carrier. It is required that you do not ask for payment for shipping and the shipping cost is covered fully by you. You shall not share or use ANY of the information provided of the recipient in any way other than sending the recipient the babywearing carrier. 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.


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 above serves as your signature; that you have read and agree with this waiver.