Please ensure you complete all fields in the following form to the best of your ability. Our emails sometimes land in the junk folder – providing your phone number gives us a secondary way to contact you about your application.

*NOTE:

Variety Alberta has the right to determine the best fit of vehicle for your child(ren).

Please note, there may be situations and circumstances where a family may request a vehicle for their child and not be able to receive one. We will do our best to accommodate all requests.

Depending on the information that we receive regarding your child’s need, Variety Alberta may need to follow up with you to get additional information to determine your child’s eligibility for the program.

If you are eligible for a Go Baby Go car you will be required to:

• Sign a release of liability form before receiving the equipment.
• Provide an image and story telling why a Go Baby Go car would be important for your child that we can use and share with our donors; and
• Sign a consent form allowing Variety Alberta to use images and/or video collected from the Go Baby Go car giveaway event.

Thank you!