Sponsored Feeding Kit Application

Helping families access specialized feeding support.

Thank you for your interest in our Sponsored Feeding Kit Program. This program is made possible through the generosity of donors who sponsor feeding kits for families experiencing feeding challenges

Because sponsorships are limited, applications are reviewed based on need and available funding. Completing this application does not guarantee approval, but we are committed to helping as many families as possible.

First Name *

Last Name *

Phone *

Email *

Address

Street Address

City

State

Country

Postal Code

Baby's Name (optional)

Baby's Date of Birth *

What best describes your baby’s diagnosis? *

Has your healthcare provider recommended the Dr. Brown’s Specialty Feeding System? *

Do you currently have access to a specialty feeding system? *

Tell us about your situation *

How did you hear about The Blue Disc Project?

Would you be willing to share your story or provide a testimonial after receiving your kit?

I understand that Sponsored Feeding Kits are funded through donations and are available in limited quantities and that submitting this application does not guarantee approval

I understand that I should consult my child’s healthcare provider prior to using the Dr. Brown’s Medical Specialty Feeding System to confirm that this feeding system is appropriate for my child’s specific medical or feeding needs.

The Blue Disc Project is a registered 501(c)(3)

nonprofit organization. EIN: 41-3129916