Diaper Bank Registration
The East Haven Family Resource Center is partnered with the CT Diaper Bank. This amazing resource allows us to provide in-need families with 25 Diapers a month. The EH FRC currently has sizes ranging from NB to Size 6 diapers as well as size 3T-4T and 4T-5T Training Pants. 

Once this form is completed our office will contact you for any following information needed. 
Email *
Parent Name
Are you an East Haven Resident? *
What is your address? *
Cellphone Number *
Email *
Please List Name of Child/Children, Date of Birth, Gender, Diaper Size and Race  *
Are you currently receiving assistance from any of the following? (please check all that apply):  *
Required
Family Size  *
Annual Household Gross Income *
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