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
Month/day/year
Parent 1 Phone Number — You will receive your appointment details by text at this number:*
Area code and phone number
Is Parent 1, which of the following to child:

MotherFatherFoster ParentAdoptive Parent
Parent 2 First Name — Not required but can be used for alternate pickup for appointment.

FirstLast
Parent 2 Phone Number:*
Area code and phone number
Is Parent 2, is which of the following to child:

MotherFatherStep ParentFoster ParentAdoptive Parent

Please answer the following questions about Parent 1:
Home Address — Please make sure this address matches the proof of address you’ll provide at your first appointment.*

Street Address & Apartment #

Street Address Line 2

CityState / Province

Postal / Zip Code
Currently employed?*
Parent Email:*
example@example.com
Preferred Language:*
Which language(s) do you speak?
Do you want to list an Alternate phone Number- Not Required:
Alternate Number-Name and relationship.
Have you visited Welcome Baby Giving Closet before?*

Yes, but my last visit was more than a year ago.I have visited Welcome Baby before, but I have not used the Giving Closet.No

	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 Registration