National Rehabilitation Awareness Foundation Toy Adaptation Network

Participation Agreement

The following is an outline of terms for participation in the National Rehabilitation Awareness Foundation's (NRAF) Toy Adaptation Network for children with disabilities.

Principles

  • All adaptations will be performed without fees to consumers.
  • Funding from the Foundation will be used for the sole purpose of the toy adaptation network (three year minimum participation).
  • Uniform data and parent/child questionnaires will be collected and sought by each participating member for collective and and facility analysis purposes (NRAF will provide forms and conduct analysis).
  • Pediatric clinicians will perform initial assessments and make recommendations for adaptations.
  • Staff from member facilities agree to participate in on-site in-services regarding network programming and policies/ procedures (schedules to be arranged by NRAF).
  • Member facilities will provide specific contact people to coordinate network operations at the respective facilities.
  • Each member facility agrees to display network promotional material and work to educate the respective community on the existence of the network location/ involvement.
  • Member facilities agree to recognize the National Rehabilitation Awareness Foundation in all promotional materials.
  • Liability issues will be covered under individual policies of member facilities.

Facility Profile

Thank you for agreeing to participate in the National Rehabilitation Awareness Foundation's Toy Adaptation Network for children with disabilities. Please take a few moments to complete the following facility profile so that we can input it into our national network data base.

Call 1-888-FIX-A-TOY with any questions.


Facility Name
Address
Address 2
Phone Number
Fax Number
E-mail
Website

Please provide a brief sumary of your organization:


Primary Contact Person/Title
Phone Number
Fax Number
E-mail
Website


Secondary Contact Person/Title
Phone Number
Fax Number
E-mail
Website

Hours of Operation

Name of Individual Completing this Form
Date