Kid Wraps

Request a Cranial Band Wrap - FREE Program

Thanks to our friends, family, and sponsors Kid Wraps has had the opportunity to provide families with a smile! Please visit our Sponsor page to learn more about the people and companies that make this FREE program possible.

Do you know an awesome kid that could use a little something special to make them SMILE?
We would LOVE to hear from you! Just fill out this form!
*=Required Information

Due to personal reasons, I (we) would like consideration for your FREE KID WRAP PROGRAM. (Note: If you do not need to apply for our FREE Kid Wraps program, please click here to fill out the correct application)
(Rules/restrictions apply to every circumstance, and not every application for the FREE service can be accepted, but we will do our best to accommodate families in need)
   
2018 INSTALLATION DATES**


We setup a special day on the 3rd or 4th Monday of each month just for Kid Wraps. ** FREE BANDS CAN ONLY BE DONE ON SCHEDULED INSTALLATION DATES. CUSTOM DATES NOT AVAILABLE AT THIS TIME.

January 29th February 26th
March 26th April 30th
May 21st June 25th
   
 
Your Full Name*:
I Am a:
   
Child's Name*:
Child's Age*:
Child's Gender:
   
Home City, State*:


NOTE: We are unable to fulfill installation requests outside of the state of Wisconsin at this time because installations must take place at our facility in MADISON, WISCONSIN.

Phone*:
Email*:
How Did You Find Us?*:

Please tell us a little bit about his/her story, why you would like this service, and any other information that would be helpful for us to know*:

BAND MEASUREMENTS

Click Here to Watch the
"How to Measure for a Kid Wrap" Video

(will open in separate window)

 
NOTE: In order to apply for the FREE program, you must wait until you have the measurements for your band to fill out this form.
   
OPEN SIDE


FRONT inches
BACK inches
LENGTH inches
 
DESIGN CHOICE
Click Here to View the
Design Gallery

(will open in separate window)
   
Design Style*:
 

*Custom designs not available for FREE program. Must choose from the Design Gallery

   
   
 
 

 

 
Check here if you are interested in donating to the Kid Wraps program personally or through your business to help other kids smile.
I have read the "How It Works" page, and I fully understand the rules and guidelines of the Kid Wraps program.
I have visited and LIKED the Kid Wraps Facebook Page and Monarch Media Designs Facebook Page
~
I agree to post or send photos after graphic is installed that may be posted on our website or Social Media photo galleries
I understand that this is a voluntary service provided by Monarch Media Designs. Design, production, and installation is done as allowed by our production schedule.
I understand that rules/restrictions apply to every circumstance, and not every application for the FREE service can be accepted.
I understand that if I do not require or I am not approved for a FREE Kid Wrap, I still receive a special rate of $50 (Reg Price $150)
I understand that if I want a custom installation date and/or design that is not shown in the Kid Wraps design gallery, there will be an additional $25 - 50 setup fee.
   

After you submit this form, please send photos of the band to info@kidwraps.org with your Name.

       

Thanks for taking the time to visit our site---making kids smile, one wrap at a time!

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