August 14th 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.
PLEASE FILL OUT A FORM FOR EACH CHILD.
*Please note we are limiting pre-registration to 60 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
First Name (please put your name here NOT your child's)
Phone number (please no dash marks)
City of Residence (used for grant purposes only)
Household Size. A Household is defined as the total number of related or unrelated persons living at the same address. (Used for grant purposes only)
Monthly Household Income. Household income is the combined income of persons claimed above. (Used for grant purposes only)
Less than $1,400.00
$1,400.00 - $1,800.00
$1,800.00 - $2,200.00
$2,200.00 - $2,600.00
More than $2,600.00
Diaper size needed. (If you are needing diapers/wipes for multiple children please complete a form for each child.)
I am interested in starting potty training
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