Community Baby Shower #5
It is our absolute pleasure to serve you ONCE again! Please feel free to pass the registration to a friend when you are finished.
Your community loves you and we cannot wait to see you at noon on March 4th!
* Required
First Name
*
Your answer
Last Name
*
Your answer
Email address
*
Your answer
Phone
*
Your answer
Zip code
*
Your answer
Number of children in the home under age 6
*
1
2
3
4
5 or more
Currently Expecting
List age and gender of each child/unborn
*
Your answer
List your needs
*
Diapers
Wipes
Formula
Travel System
Clothing/Shoes
Crib/Bassinet/Sleeper
Required
If you answered that you need diapers, what size diapers?
Your answer
Are you in need of resources for
*
Select all that apply
Quality Affordable Childcare
Rental Assistance
Food Assistance
Budget Planning
Family Planning/Birthing Plans
Utility Resources
Quality Affordable Housing
Legal Aid
Questions regarding CCSD
COVID Testing
Other:
Required
Would you like us to follow up with you for future events?
*
Yes, I'd love that
No, I'll pass
Yes I'd love to volunteer
Required
Who you are matters to us. Is there anything you would like us to know that we have not already asked?
Your answer
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