Diaper APPLICATION for Special Needs Families with a Financial Need / APLICACIÓN de Pañales para Familias con Necesidades Especiales con Necesidades Económicas
This APPLICATION is NOT a guarantee of diapers. Special Kids Connect will contact you upon completion to confirm your reservation.

You MUST have a financial need and a child with special needs.

If you do not have an email address, call (831) 372-2730, Monday through Friday between 9 am and 4 pm.

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Esta APLICACIÓN NO es garantía para obtener pañales. Special Kids Connect se comunicará con usted al finalizar para confirmar su reservación.

DEBE tener usted una necesidad económica y un niño/a con necesidades especiales.

Si no tiene correo electrónico, llame al (831) 372-2730, lunes a viernes de 9 am a 4 pm..
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Do you have a family member who has a disability and/or special needs? / ¿Alguno de los miembros de su familia tiene NECESIDADES ESPECIALES? *
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