A Mother's Heart: Diaper & Wipes Giveaway
This event is open to all mothers, parents, and guradians. Come recive your crown as guest speakers discuss the challenges and triumphs of Black motherhood.
Presented by Black Mothers In Power & The Heartery Date: Sunday, February 19th 2023 Location: 2215 B North Washington Street Wilmington, DE 19802
Demographic Information
Full Name
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Phone
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Email
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How do you prefer to be contacted?
Phone Call
Email
Text
Postal code
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Date of birth
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County
*
City of Wilmington
New Castle County
Kent County
Sussex County
What is your race or ethnicity?
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Asian or Asian American
American Indian, Alaska Native, or Indigenous
Black or African American
Hispanic, Latino/a/x, or Latin American
Multiracial or Multi-ethnic
Native Hawaiian or Pacific Islander
White
Assistance Request
Please select all that apply.
I am requesting the following:
Diapers
Wipes
Manual Breast Pumps
If you requested diapers, what size?
Newborn
Size 1
Size 2
Size 3
Size 4
Size 5
Size 6
Pull Ups
If pregnant, when is your expected due date?
Dietary Limitations/Restrictions