COVERD (formerly Sweet Cheeks Diaper Bank)

2331 Terhune Alley
Cincinnati, Ohio 45206

Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number Phone Number - ### - ### ####
Email
Adult T-Shirt size choice

Adult T-Shirt size choice S M L XL 2XL
Do you have friends/family that will be coming with you for this service opportunity? If yes, please let us know who. Please note children under age 12 are not permitted.
Additional Guest 1 Do you have friends/family that will be coming with you for this service opportunity? If yes, please let us know who. Please note children under age 12 are not permitted.
Additional Guest 1 First Last
T-Shirt Size:

T-Shirt Size: S L M XL 2XL
Additional Guest 2 Additional Guest 2 First Last
T-Shirt size:

T-Shirt size: S M L XL 2XL
Additional Guest 3 Additional Guest 3 First Last
T-Shirt Size:

T-Shirt Size: S M L XL 2XL
Please list an emergency contact
Phone Phone - ### - ### ####
Please list any mobility restrictions, allergies, or other medical conditions that would be important for us to know:
What do you hope to give and/or get out of this experience?
How did you hear about this Opportunity?
By selecting the "yes" checkbox and typing your name in the box below, you are electronically signing the Volunteer and Waiver Form and COVID 19 Release Form

By selecting the "yes" checkbox and typing your name in the box below, you are electronically signing the Volunteer and Waiver Form and COVID 19 Release Form Yes No
Please sign your first and last name