Repeat Diaper Registration - Erie Family Center

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REGISTER for FREE Diapers

If you are a returning diaper distribution parent, please complete the form below to registered for free diapers.

If you are NEW to the Erie Family Center Diaper Depot distribution program, please complete the NEW REGISTRATION FORM.

*Important Distribution Update*
There are currently no scheduled Diaper Depot distributions at Erie Family Center. Please watch our social media for distribution coming at the end of the month. Thank You!
I am filling this form out as a:*
Date
Date Format: MM slash DD slash YYYY
Please select distribution location:
I understand that by attending a Diaper Depot distribution at the Erie Family Center that I can NOT attend any mobile distributions.
I understand that I am only able to attend ONE diaper distributions per month at any locations. Abuse of diaper distributions will lead to inability to participate in the program. Children must be under the age of FOUR in order to participate in Diaper Depot. Proof of birth will be required at your first pick up. We serve the CHILD, so the diapers that are given are for that intended child only. You can not receive multiple packs of diapers for the same child from different people. (Ex: mom and grandma pick up for separate houses)
- I Agree
Parent/Guardian Information
Guardian First Guardian Last
Email*
Phone*
Would you like to be contacted with information about our upcoming Incredible Years program? The Incredible Years is an evidence based program designed to strengthen parenting skills, prevent and treat behavior problems. The program specializes in children ages 5-15yrs but the tools learned can apply to all ages. These will be via Zoom and starting in the upcoming weeks. You do not need custody of your children to participate.
- Yes! Please contact me with information!
- No, thanks
Beginning in January, Erie Family Center will have classes via Zoom for 1-2-3 Magic, More Magic and Tantrums. 1-2-3 MAGIC And More 1-2-3 Magic addresses the difficult task of child discipline with humor, keen insight and proven experience. Tantrums addresses managing meltdowns in public and private.*
- Yes! Please contact me with information about these free classes!
- No, thanks
Child(ren) Diaper Information
Child's Name*
First
Child's Gender
- Female
- Male
- Prefer not to say
Child's Age
Diaper Size Requested
Add Another Child
- Add Another Child
Child's Name*
First
Child's Gender
- Female
- Male
- Prefer not to say
Child's Age
Diaper Size Requested
Add Another Child
- Add Another Child
Child's Name*
First
Child's Gender
- Female
- Male
- Prefer not to say
Child's Age
Diaper Size Requested
Add Another Child
- Add Another Child
Child's Name*
First
Child's Gender
- Female
- Male
- Prefer not to say
Child's Age
Diaper Size Requested
CAPTCHA
Beginning January 1, 2024 all Diaper Depot participants will be required to show some form of ID at pickup- every time. We will also be updating our records and will need some form of birth certificate/placement papers or crib card to be shown in January of every year. Please type your initials below to acknowledge this policy change.*
Beginning January 1, 2023 you must identify if someone is picking up diapers on your behalf at every distribution. Please list the name below of the person you will have picking up for you: (if applicable) **IMPORTANT** Caseworkers/agency workers/family members may only pick up diapers for a maximum of TWO clients***

The Erie Family Center is the only Diaper distribution organization associated with a nationally accredited program within a 100-mile radius - National Diaper Bank Network.

Thank You to our Community Funding Sources

Location

606 Raspberry St.
Erie, PA 16502

Hours:
Mon-Fri 9AM-5PM

CONTACT

CALL: 814-520-8214

EMAIL US

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