2026 Diaper Giveaway!

2026 Diaper Giveaway! Registration

Please complete all lines. Limit 1 box per child & up to 2 children per household. Registered parents will receive their boxes of free diapers at 11am on September 19th, 2026. Deadline for Registration is September 16th, 2026.

Name of Parent/Guardian*

First Last

Parent/Guardian's Phone Number*

Country Phone Number

1st Child

Child's Age (months):

Child's Weight (lbs)

Diaper Size (select one):*

2nd Child

Child's Age (months):

Child's Weight (lbs)

Diaper Size (select one):

(Optional) Please let us know if you have other needs or interests:

Finance/Money Management

Spiritual Growth

Activities for Youth

Relationship Challenges

Addiction Struggles

Health and Wellness

Other: