Information for Interest
Please fill out this form to allow us to contact you with sign-up information. Sign-up will continue to be first come first served. Please know this does not guarantee you a spot.
Please do not contact the local WIC office with any questions. For any questions, please contact us via email at indianadiaperbankserviceproject@indianadiaperbank.org.
If you do not show up for your pickup slot after 2 times of signing up, Indiana Diaper Bank reserves the right to delete your submission.