Jadon's Hope Foundation Support Pillow Grant Application
Thank you for your interest in the Jadon's Hope Foundation (JHF) "Snug as a Bug" positioning pillow grant program.  Below are the Term and Conditions that govern this program.  By submitting an application, you agree to be bound by the terms set forth.

1.  This grant program is open to anyone of any age who has been diagnosed with SMA type 1, type 2, type 3 or adult onset.  JHF, in its sole discretion, reserves the right to open the program to other life-altering diseases should they deem to do so in the future.  You must be 18 years of age or older to submit an application.  For those younger than 18 years of age, a legal guardian or caretaker may apply on their behalf.  Limit one (1) application per eligible person and one (1) grant per eligible person.  As part of the application process, you must "LIKE" the Jadon's Hope Foundation Facebook page.

2.  JHF is solely responsible for application review and grant selection process.  JHF, in its sole discretion, will select grant recipients from the active, complete pool of applicants at the time a grant is set to be selected.  Incomplete applications will not be considered.  If selected for a grant, JHF will notify you via email at the email address included on your application.  Grant recipients will receive 2 small and 2 standard size positioning pillows.  Retail value approximately $225.  Positioning pillows will be shipped to applicant’s address.

3.  In the event you are selected as a grant recipient, you hereby grant JHF the right to publish the name, state and/or country of residence, age, photo and SMA type provided in the application on the JHF website or blog, Facebook page or in similar marketing and publicity communications.  JHF will not publish any other individually identifying information without your prior consent.

4.  You agree to release and hold JHF, its board, officers, representatives and legal advisors, harmless from any and all losses, damages, rights, claims and actions of any kind in connection with the program or resulting from acceptance, possession or use of the Spry fluidized positioning pillows or the name "Snug as a Bug" including limitation, personal injury, death and property damage, and claims based on publicity rights, defamation or invasion of privacy.

If you have any questions about the program or these Terms and Conditions, please email JadonsHope@sbcglobal.net.

To learn more about Jadon's Hope Foundation, log onto www.jadonshope.org.

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Your Name (First and Last Name) *
Applicant/Individual Affected with SMA (First and Last Name) *
Relationship to Applicant *
Applicant's Address *
Applicant's City *
Applicant's State *
Applicant's Zip/Postal Code *
Contact Email Address *
Contact Phone Number *
Applicant's Diagnosis *
Do you currently have a positioning pillows in the home? *
If yes, please indicate how many and how long you have had each positioner
How will you be utilizing the positioning pillow? *
For example:  As a positioning aid during sleeping or positioning in stroller/power chair.
Additional information that would be pertinent to application review.
By clicking yes you agree to our Terms & Conditions as listed above. *
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