2021 Holiday Wishlist

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Rosemary’s Babies Company is a teen parent and family support organization we provide 24/7 financial, emergency, and emotional support for teen moms and dads (13-19), in the tri-state area (Ohio, Kentucky, Indiana). This service is free of charge ($0.00).

Wishlist are limited to Teen parents (13-19)

Families are able to contact Rosemary’s Babies virtually:
Call or Text: (513) 813-TEEN (8336)
Email: rosemarysbabies.cincy@gmail.com
Website: www.rosemarysbabies.co
Social platforms: Facebook, Instagram, Twitter, Google, LinkedIn

Email *

Today's Date *

YYYY

(Parent's) First Name *

Last name *

Address

City

Zip Code *

Please list your neighborhood *

Who do you live with? *

Phone Number *

Birthday: List the birthday of the applicant (teen parent) *

Age: List your current age (teen parents only 9-19), We will verify. *

Sex *

Race *

Black (African American)

White (Caucasian)

American Indian/Alaskan Native

Asian

Native/Pacific Islander

Other

Ethnicity *

Hispanic or Latino

Non-hispanic or Latino

List 3 Items ($50 maximum) that YOU (teen parent) needs this season? (INCLUDE SIZES) *

Background: Teen Parent: How many children do you have, sex, age. Pregnant teen: Due date, sex of baby, *

Pregnant

One child

Two children

Three Children

Option 5

Other:

First Child Full Name (N/A if Unborn) *

List 3 Items ($50 maximum) that Child #1 needs this season? (INCLUDE SIZES) *

First Child Sex *

First Child Age (N/A if unborn) *

First Child Birthdate (Due Date) *

Second Child Full Name

List 3 Items ($50 maximum) that Child #2 needs this season?

Second Child Sex

Second Child Age

Second Child Birthdate

YYYY

Third Child Full Name

List 3 Items ($50 maximum) that Child #3 needs this season?

Third Child Sex

Third Child Age

Third Child Birthdate

YYYY

How did you hear about this

Website

Agency

Online media

Google

Other:

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Electronic Signature

By signing below, I certify all information is true and correct to the best of my
knowledge.

Please print your name as verfication to submit *

Date *

YYYY

Rosemary's Babies Company is a teen parent and family support organization

A copy of your responses will be emailed to the address you provided.

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