Apply for Your Stroller

Variety’s “My Stroller” Program currently provides a Kid Kart Mighty Lite adaptive stroller for children who meet the following eligibility criteria:

Location

Reside in one of the 54 counties that Variety currently serves, including: 42 counties in Pennsylvania (Adams, Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Centre, Clarion, Clearfield, Clinton, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lawrence, McKean, Mercer, Mifflin, Northumberland, Perry, Potter, Somerset, Snyder, Union, Venango, Warren, Washington, Westmoreland, and York), and 12 counties in West Virginia (Barbour, Brooke, Doddridge, Hancock, Harrison, Marion, Marshall, Monongalia, Ohio, Preston, Taylor, and Wetzel).

Diagnosis

Have a diagnosed physical, mental, or sensory disability documented by your child’s current licensed Physical / Occupational Therapist or Personal Care Physician.

Age

Be 4 through 21 years of age. An application may be submitted up to 60 days prior to the child’s 4th birthday.

Application

Complete all applicable sections of the Program Application.

Income

Applicant’s household income must meet the income guidelines for Variety’s programs (see pages 6-7 in the application for more details). Income verification will be required.

2 $82,300
3 $103,900
4 $125,500
5 $147,100
6 $168,700
7 $190,200
8 $211,900
# Household Members Household Salary

** For each additional household member, add $21,600.

Letter of Medical Justification (LMJ)

Submit an LMJ from your child’s current licensed Physical / Occupational Therapist or Personal Care Physician, indicating and detailing that a Kid Kart Mighty Lite adaptive stroller would be medically appropriate and therapeutic for the child. This same licensed professional should also complete and submit Variety’s “My Stroller” Order Form & Measurement Sheet (link to form is below).

Follow-up

A phone consultation with Variety’s Program Manager may be required with the parent and/or licensed medical professional writing the letter of medical justification for more information following the review of the application.

Presentation Requirement

Variety requires the applicant and his/her parent or legal guardian to attend a scheduled regional presentation to receive the equipment in order to properly review all safety and equipment specifics before it is taken home.

Program Application Program Handout My Stroller” Order Form