Thank you for your interest in receiving a free Pack ’n Play from Derrick Stone Safe Sleep. Please complete the application below. We prioritize families who do not have a safe sleep space for their baby. We will follow up by email shortly after your submission to take the next steps to receive your pack n play.
Do you currently have a safe sleep space (crib, bassinet, Pack ’n Play)?
Have you ever received safe sleep education before?
Would you be willing to attend a short safe sleep Zoom session or in-person class before receiving your Pack ‘n Play?
Do you agree to use the Pack ’n Play for infant sleep only, following safe sleep guidelines (baby alone, on their back, in a crib/Pack ‘n Play, with no blankets or toys)?
Do you give permission for us to contact you for follow-up and feedback?
Would you be willing to share your story or a photo of your safe sleep setup for our education and outreach efforts?
By signing below, I confirm the information provided is true and understand that completing this form does not guarantee a Pack ‘n Play but helps determine eligibility.
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