Supply Pick Up Program Application
If you are a teen-parent in Leander/Cedar Park/ Georgetown, we would like to support you and your family by providing you with basic baby supplies on a regular basis.
Please note that we will offer supply pick ups twice a month. Supplies may be ordered on the 1st & 3rd Monday of the month and are available for pick up on the 2nd & 4th Monday of the month. You must have an approved application on file before you are able to order and receive supplies. In addition to this application, you will need to provide a copy of your photo ID (the enrolling teen-parent), a copy of the photo ID of the individual who will be picking up the supplies (if it is someone other than yourself), and your child's birth certificate.
If you have any questions, you may email our Director at or call our office at 512-528-9948.
If you prefer to receive to complete a hard copy of this application rather than completing it in Google Forms, please email
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