October GUGP Diapers/Wipes
Due to the overwhelming need in the community individuals must pre-register for each Market Distribution Day.

Please complete the following pre-registration form if you are in need of DIAPERS/WIPES.

Each child will need his/her own registration form.

*Please note we are limiting to pre-registration to 50 kids for diapers/wipes*

We are doing our best to meet the needs within our community during this difficult time and we look forward to serving you.

If you register and do not show up TWICE, unfortunately we will not be able to accept your pre-registration for future market days. If you need to cancel please email us at info@graceupongraceproject.org
Email address *
Date *
MM
/
DD
/
YYYY
First Name (please put you name here NOT your child's) *
Last Name *
Phone number (please no dash marks) *
City of Residence (used for data purposes only) *
Diaper size needed. (If you are needing diapers/wipes for multiple children please complete a form for each child.)
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