Welcome Baby Giving Closet Registration

Parent Information:

Please note: The name entered for Parent 1 must match the name given at the appointment. That is the name we will have on our appointment list.

**Parent 1 must be a legal guardian or parent of the child.**
Parent 1- First Name- Please enter it exactly as it appears on your ID. *Remember, this will be the name used for your appointment. *
First Name
Parent 1 Last Name- Exactly as it appears on your ID. If there is TWO LAST NAMES, please write both.
Example: Diaz-Lopez
Parent 1's Date of Birth:

MonthDayYear
Parent 1 Phone Number — You will receive your appointment details by text at this number:
Area code and phone numberFormat: (000) 000-0000.
Is Parent 1, which of the following to child:
Parent 2 First Name — Not required but can be used for alternate pickup for appointment.

FirstLast
Parent 2 Phone Number:
Area code and phone numberFormat: (000) 000-0000.
Is Parent 2, is which of the following to child:

Rows	First Name	Last Name. If they have 2 last names, pleases enter both	Gender: Female/ Male or Boy/ Girl	Date Of Birth ( Month/ day/ Year) Example: 8/29/2025
Child 1:
Child 2:
Child 3:
Child 4:
Child 5:
Child 6:

Welcome Baby Durham