Child Development Council Cortland Baby Supplies Support
-SERVICES AND AVAILABILITY ARE SUBJECT TO CHANGE WITHOUT NOTICE-
THIS FORM IS FOR CORTLAND COUNTY USE ONLY

***Drive thrus run on the 2nd and 4th Thursdays of the month.***


Please complete the following form, providing all required information. Requests must be received by 5pm on the 1st and 3rd Fridays of the month for pick up on the 2nd and 4th Thursdays. Requests received after that time will be available for pick up the next drive thru.

You will be contacted by a staff person with a time to pick up items between 3 and 5pm on the 2nd and 4th Thursday afternoons from the NYS Grange parking lot at 100 Grange Place.

For Tompkins County residents, please complete this form: https://forms.gle/aLiYxjSGHS1qfiYYA

Supplies are limited to 24 diapers or 12 pull ups per child and up to 2 small cans of formula per child. You may receive supplies twice per month.

Looking for ongoing support? Participants in our Family Services program receive individualized parenting support, child development information, and connection to community resources. Baby supplies, transportation support, and so many other services are available. Free lactation counseling, postpartum support, and fatherhood programs are available to all participants. We also have expertise in working with teen parents!

Our programs are open to ANY family in Tompkins or Cortland counties who are pregnant or have at least one child under age 5.

Interested? Check the box on the form below or email melissa@childdevelopmentcouncil.org.

POSTPARTUM SUPPORT:
Postpartum Support is available on the 2nd and 4th Tuesdays of each month from 12-1 via Zoom. Please see our facebook page or website for login information.

LACTATION CONSULTATIONS:
Phone and virtual lactation consultations are available free of charge. Please call (607) 273-0259 and a staff member will return your call.

D0 YOU NEED FAMILY PLANNING SUPPLIES?
Fill out that portion of the form below.
You supplies can be packaged with your baby supplies.

For more information about our services please visit www.childdevelopmentcouncil.org and follow us on Facebook.
Email address *
Are you interested in hearing more about our Family Services program? (This is NOT the same as getting baby supplies!) We offer individualized parenting skills support, child development information, and conenctions to community resources to help you make progress toward your eudcation, employment, and parenting goals.
Clear selection
Where did you hear about the Baby Supplies and Family Planning Supplies drive thru? *
Date of Request *
MM
/
DD
/
YYYY
Name *
Phone number and address *
Names(s) and birthdate(s) of Child(ren) *
Do you have children in K-12 grade? If so, what school do they attend? *
County of Residence *
Required
Formula
Diapers/Pull Ups
Would you like to share any other information?
Family Planning Supplies -SERVICES AND AVAILABILITY ARE SUBJECT TO CHANGE WITHOUT NOTICE- Hey, we get it. You're in quarantine and need a fun way to pass the time. We just want you to be safe while you're at it. You may choose TWO options from the list below. If you choose just one option, you will receive two packages of that option. Supplies may be requested twice a month.
Do you have multiple children that need the same size diapers/pull ups or formula? Please share that information here along with any other information you would like to share.
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