Apply for cloth diapering loan package
Please complete this form if you wish to receive a cloth diapering package from Cloth for a Cause
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Email *
First Name *
Last Name *
Street address *
City *
Province *
Postal Code *
Phone number *
Please provide name, birthdate, sex, and current weight of each child requiring diapers. If you are expecting a child, please indicate the estimated arrival date of the child. *
What is the biggest financial or other need-based obstacle preventing you from acquiring cloth diapers? *
If you already own cloth diapers, what diapers do you have?
I have read and agree to the terms and conditions set out at *
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