Community Baby Shower

Registration Form

Complete the form below to pre-register for our event. You will be notified when registration opens June 1st and given the first chance to confirm your registration.

First Name *

Last Name *

Email *

Phone *

Are you 7 Months. Pregnant or had a baby that is less than 7 months old now? *

YES
NO
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If you are + or - 30 days of this you still qualify

Belly and Baby Certification *

I understand to participate in the event, proof of pregnancy or newborn baby is required to be shown at the door if child is not present during the day of the event to ensure we are servicing those truly in need of baby supplies

Who will be attending the Baby Shower with you? *

Just Me
Me and My Baby
Me and 1 Adult
Me, My Baby and 1 Adult
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Baby Shower Invite *

I understand I cannot bring extra people to the event not listed from above

Baby Due Date / or Date of Birth *

Baby Gender *

Boy
Girl
Unknown
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For the purpose of clothing and color items

What Items are you in need of now?

Pampers

Wipes

Ointment

Bottles

Pacifiers

Lotions and Creams

Bodywash and Shampoo

Comb Brush Set

Clothes

Blanket Sets

Beanie Caps

Your Baby Pampers Size *

New Borm
Size 1
Size 2
Size 3
Size 4
Size 5
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Emergency Contact *

Special Message

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.