MOMMY REALIST® DIAPERS & WIPES FUND

Sponsorship Form

Giving back to this community I’ve built is so important. That’s why for every purchase made through Mommy Realist® merchandise sales, $2 will be donated to the Mommy Realist® Diapers & Wipes Fund.

At least once a month, Mommy Realist® will reach out to a mom in need or struggling that month and send her a package of diapers and wipes for her child.

To apply for this sponsorship–or nominate someone you know–to receive a package of diapers and wipes, please fill out the form below. ALL submissions will be kept anonymous.

Your Name

(The individual submitting the request- can be different from who will be receiving)

First Name

Last Name

Email

Required for any issues with shipping and/or to contact you to see if diaper size has changed, as I may send these months from now. Will not be used for any other purpose. (If you are submitting for someone else and wish to be the one to be contacted, please leave your information here.)

Sponsorship Type

Is this donation going to be for you or someone else?

For Myself

Someone Else

Diaper Size Needed

Preferred Diaper/Wipes Brand

Shipping Name

Person who will be receiving diapers/wipes

First Name

Last Name

Shipping Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Shipping Phone Number

Required for delivery only by the shipping carrier. Will not be used for any other purpose.

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Special Message

If you would like to include a special message about you and your situation–or the person you are nominating and their situation–please use the box below.

How did you hear about this?

Donate to THe
Diapers & Wipes Fund

Additionally, you can anonymously donate funds to a mom in need by using donate button below.

Donate

MOMMY REALIST® DIAPERS & WIPES FUND

Sponsorship Form

Donate to THeDiapers & Wipes Fund

Donate to THe
Diapers & Wipes Fund