Service & Diaper Referral (Children)
Aloha Diaper Bank collaborates with partner agencies across Oahu, Maui, Kauai and Molokai to assist families in need by providing diapers. We do not directly distribute diapers to individuals or families. To receive diaper assistance, it is necessary to sign up with one of our partner agencies. Each partner agency has a screening process that must be completed before obtaining diapers, as well as additional services, resources, and support.

As a nonprofit organization, Aloha Diaper Bank depends on donations of diapers to maintain its inventory. Availability of diapers is contingent upon our stock to supply our partner agencies. We do not supply Pull Ups, Baby Wipes or Size 7 Diapers.

If you comprehend and accept these conditions, kindly fill out the form below. Aloha Diaper Bank will then refer you to the partner agency nearest to your location.
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Are you the Parent or Legal Guardian of the child, please select 1 answer below
(Only Parents and Legal Guardians are eligible to request diaper and service assistance)
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Required
Your Name (First and Last name) *
Email Address *
Phone Number *
Which City do you live in?
Please type your zipcode below. 
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Age of your Child? *
What size Diaper does your child need? (WE DO NOT PROVIDE  Pull Ups, Wipes or Size 7 diapers.) *
PERMISSION FOR REFERRAL:

I hereby provide my consent and authorization for Aloha Diaper Bank to submit this referral on my behalf to one of their partner agencies for assistance. I acknowledge that this referral is solely for the purpose of connecting me with a partner agency and does not guarantee immediate assistance.
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