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.

I am filling this form out as a:*
Date
Date Format: MM slash DD slash YYYY
Please select distribution date/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 TWO diaper distributions per month at any locations. Please only register for the locations that you will be attending as the system will not allow registrations above TWO. Abuse of diaper distributions will lead to inability to participate in the program.
- 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, 2023 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)

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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