Bed Application

Child's Name:*

Parent-Guardian's Name:*

Address:*

Phone Number:*

Email:*

Age of Child:*

Child's Height:

Child's Weight:

Please describe your child's medical and developmental needs and-or diagnosis':

What does your child currently use for sleep, and what challenged do you face with the current set-up?

How would this bed help your family?

This bed will arrive UNASSEMBLED, please note that some pieces are quite large. Riddick's Ride can arrange a volunteer ro deliver items to your house (bed parts, hardware, and instructions). Do you have someone who can assist you with getting the bed parts and pieces to the room and assembled?

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KayserBetten Hannah 135 Bed with KR15 semi-electric sleeping platform- natural wood color

Details:

Weight capacity: 330 lbs

Safety rail height 53"

Threshold: 18.5"

Extra long twin mattress

Inside dimesions: 79"x39.5"

Outside dimesions: 85"x44"

Overall height: 72"

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