amtryke therapeutic tricycle request form

Initially, the child may have difficulty turning or changing directions. Save or instantly send your ready documents. Complete AMBUCS Amtryke Therapeutic Tricycle Request Form 2015 online with US Legal Forms. **AmTryke® therapeutic tricycles are distributed based on available funds and need, and individual placements of AmTryke® therapeutic tricycles are at the discretion of the local chapters. Easily fill out PDF blank, edit, and sign them. Request form, assessment form, and liability waiver are required for tryke placement CAUTION Fast speeds and sharp turns can cause the AmTryke® therapeutic tricycle to tip or turn over! AmTryke Therapeutic Tricycle Veteran Request Form ... AmTryke Therapeutic Tricycle Waiver Form (Must be filled out completely by Veteran) AMBUCS members nationwide are dedicated to creating opportunities for mobility and independence for people with disabilities by providing AmTryke therapeutic tricycles, offering educational scholarships to therapy students and performing various forms … Powered by Fortune3Fortune3 Start a free trial now to save yourself time and money! Adult supervision required if used by younger riders. Available for PC, iOS and Android. This Request/Liability Waiver Form and the Assessment Form must be received by your local chapter or the Resource Center before placement is considered. Amtryke form. AMTRYKE REQUEST, ASSESSMENT FORM AND PARENT/ GUARDIAN WAIVER MUST BE RECEIVED TO PLACE RECIPIENT ON WISH LIST. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. This may take some time, please be patient. ©AmTryke LLC, all rights reserved. Once these forms are received, the child’s name is placed on the list and will remain there until th e funds are raised to purchase the AmTryke® therapeutic tricycle for the child. Please mail or fax this application to: AMBUCS™ Resource Center PO Box 5127 High Point, NC 27262 888-AMTRYKE * Fax: 336-852-6830 AMTRYKE REQUEST , ASSESSMENT FORM AND PARENT/GUARDIAN WAIVER MUST BE RECEIVED TO PLACE RECIPIENT ON WISH LIST. Fill out, securely sign, print or email your Get - ambucs instantly with SignNow. Please mail or fax this application to: AMBUCS™ Resource Center PO Box 5127 High Point, NC 27262 888-AMTRYKE * Fax: 336-852-6830 CAUTION Fast speeds and sharp turns can cause the AmTryke® therapeutic tricycle to tip or turn over! • Always wear helmet when riding AmTryke® therapeutic tricycle with adult supervision! The three forms are the Request Form, Assessment Form, and Liability Waiver. AmTryke® therapeutic tricycles are at the discretion of the local chapters.

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