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Waitsburg Christian Church
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Name
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Email Address
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Phone Number
Optional: This information would only be used for follow-up if desired.
What would you like to pick up? (
Required
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Clothing
Diapers
Both
If you need diapers: For how many infants?
If you do not need diapers just leave blank.
If you need diapers what size/s?
If you do not need diapers just leave blank.
When would you like to come in? (
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What time? (
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What city do you reside in?
This information helps us track the scope of this ministry and will not affect your ability to receive assistance.
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