Participant Application

Thank you for your interest in GoBabyGo BHM. This application is to be completed by the parents/guardians or doctor/therapist of a prospective child. The GoBabyGo BHM Program modifies off-the-shelf ride-on toy cars for children with disabilities. If you have questions about whether GoBabyGo is appropriate for your child or patient, please visit our About page or contact Amanda Phillips, PT, DPT, at

City, State, ZIP