Written by a parent, not a doctor. Nothing here is medical advice.

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Variety — the Children's Charity of Iowa

Specialized Mobility Equipment

What you get

Help with adaptive bicycles, gait trainers, other approved mobility equipment, specialized strollers and standers and mobile standers. Ask whether requests are open.

Who starts it
You
How it’s sent
Email to mobility@varietyiowa.com
Your time
About 30 minutes
Last checked
Aug 27, 2026

Before you start, check you fit

  • Your child is 21 or under.
  • Resale is prohibited; you should contact Variety when equipment is outgrown or unused.
  • Variety does not give an equipment warranty; the guardian owns maintenance, repair, and other unstated costs.

  1. What their form asksA preview, so you can gather things first. Fill it in on their site.

    Open the application PDF ↗ Checked Aug 27, 2026

    Send it by email to mobility@varietyiowa.com.

    What the form asks for

    Child and Applicant Information
    Date of ApplicationChild’s NameChild’s AgeBirth DateChild’s t-shirt sizeHas your child received a mobility item from Variety? If so, what yearList all legal guardians of this child (Name and relationship)Address (home or agency where child resides); CountyPrimary Email Address of Parent/GuardianPrimary Contact Phone Number: Name, Home, CellSecondary Phone Number: Home, CellMedical Diagnosis/Nature of DisabilityHave you applied to your insurance for the item requested? (not required)Name of Person Completing Application; Relation to Child; Address; Email Address; Phone Number
    Professionals and Equipment Need
    Name of Professional & Agency; Phone; OccupationPlease sign here if you consent to Variety contacting the individuals above to discuss your child’s equipment needsIn your own words, what this equipment would mean to your family and how it will impact your child
    Household Information
    Father’s occupation and place of employmentMother’s occupation and place of employmentHousehold yearly incomeNumber of dependents in the child’s family
    Required Releases and Signatures
    Release of Liability — Parent/Legal Guardian signatures and datesAffirmation of Truth — Parent/Legal Guardian signatures and datesDisclaimer — Legal Guardian names, signatures, and Recipient namesAuthorization to Use Name and Likeness — Parent/Legal Guardian signatures and dates (optional)

    Have ready

    • Completed six-page application with every required legal-guardian signature; optional name-and-likeness release may remain unsigned.
    • Verification letter(s) from identified therapist, doctor, or social worker specifying the child’s need for the requested equipment.
    • Bid or quote for the requested equipment.
    • Completed and signed Form W-9 for one parent or guardian.
    • Recent photo of the child, preferably JPG or PNG.

After you send

Keep a complete copy and note the next quarterly review; call 515-243-4660 extension 14 with application questions. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published