Baby Bottle Drive
Fill a Bottle, Change a Life!
Sign in to Google to save your progress. Learn more
Fresh Start Support Services
Mailing Address:
118 Centre Street, St. Thomas ON  N5R 2Z9

Office and Program Space:
797 Talbot Street, St. Thomas ON  N5P 1E3

Baby Bottle Drive Sign Up Form

Please fill out the following information:
Name and Address of Church / Organization *
Would you like to participate in our Baby Bottle Drive fundraiser this spring? *
Name of contact person who will oversee Baby Bottle Drive:
Phone number of Contact Person:
Email address of Contact Person:
Would you like to participate traditionally with physical baby bottles to fill, or virtually by giving online only? *
If you would like to participate with physical baby bottles, please specify the amount bottles needed by your church.
Please select a pickup date:

Please pick up the bottles from our new office space at 797 Talbot Street, St. Thomas between 10am - 3pm on one of the following dates:

Clear selection
If someone is unable to pick up bottles on one of the above dates, please email info@fsms.ca or call 519-637-7775 to arrange another pickup date. Thank you!
Would you like someone from Fresh Start to come and speak to your church or organization about this fundraiser? There will be limited dates available. Someone will contact you if you are interested.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms