KNDC/KCCC DIAPER BANK REGISTRATION
Please answer all questions truthfully and to the best of your knowledge.—Incomplete forms may not be processed.
Only children up to 42 MONTHS (3.5 years old) are eligible to receive diapers. At its discretion and upon request, K.N.D.C may use the information requested for statistical purposes and may share the provided information with 914Cares, and other affiliated non-profit partners.