Detroit Center Community Diaper Distribution
Event Timing: Feb 10, 2024 @ 1pm
Event Address: 13050 Puritan Ave, Detroit, MI 48227
Contact us at (313) 7012128 or www.dcsdachurch.org
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Parent's  Name *
Address *
City *
State *
Zip Code *
Phone Number *
Email
How many Children are in need of supplies in the family
Name  of Child  (#1)
Birth Date
Name of Child's (#2)
Birth Date
Name of Child' (#3)
Birth Date
Diaper Sizes
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