Diaper Drive Registration
Want to host a diaper drive for Loving Bottoms Diaper Bank? Tell us a little more about you and your goals here and we'll be in touch soon to confirm all the details!

After you have submitted your registration you will be redirected to our website if you would like to set up your own fundraiser to go along with your drive!
Your Name (or your group's name)
What kind of group is this and how many people are involved?
Contact Persons name (if different from the group name)
Contact Peron Phone Number
Contact Person Email
Contact Person Mailing Address
When would you like to start your drive?
MM
/
DD
/
YYYY
When would you like your drive end?
MM
/
DD
/
YYYY
Is this drive for April Showers?
Clear selection
How many diapers would you like to collect?
Clear selection
Are you interested in having someone from the Diaper Bank come and speak to your group?
Clear selection
Would you like for us to pick up the diapers from you once the drive is finished, or would you like to drop them off at the warehouse (77 S. Henderson St. Galesburg)?
We will contact you to arrange a date/time for pick-up/drop-off
Clear selection
Are you interested in bringing a group to volunteer when you make the drop-off?
Clear selection
Submit
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