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HopePlace Warren Community Baby Shower
Registration
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* Indicates required question
Full Name
*
Your answer
What county are you a resident of?
*
Bradley
Cleveland
Calhoun
Address
*
Your answer
Phone Number
*
Your answer
Are you pregnant?
*
Yes
No
If not, your child
must
be under 12 months of age to benefit from the Community Shower. Child's DOB?
MM
/
DD
/
YYYY
Additional children under the age of 12 months, DOB?
MM
/
DD
/
YYYY
Name of child/children
Your answer
Gender
Boy
Girl
Clear selection
Remember to bring FORMS of PROOF if you want to be apart of our community shower!!!
If you are pregnant please bring a
Proof of Pregnancy
from your doctor's office or be willing to take a pregnancy test on site at HopePlace Warren.
If you are coming for your
child under the age of 12 months
please provide proof of age with ONE of the following: Birth Certificate, Social media post with time stamp, insurance card
Proof of Residency
: ALL Participants must provide a utility bill in their name proving they reside in either Bradley, Cleveland, or Calhoun County.
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