top of page

Car Seat/ Pack n Play Request

Requests are checked weekly. We will contact you with questions and next steps.

Requests are approved based on your level of need and member engagement.

Pregnant? Do not fill out this form. Please click here: PREGNANCY CLUB

​Requests for Car Seats or Pack n Plays will only be approved for members who have attended an event in the past 6 months.​​

Is this for a child you are currently pregnant with? Obligatorio
Do you qualify for Medicaid? Obligatorio

**If you do not qualify for Medicaid you are not eligible for this program. Please text us if you have questions.

Which items are you requesting? Obligatorio
Car Seat Requests only: If you currently have a car seat, what is your reason for requesting a new one?
bottom of page