*Organization: *Contact Name: *Date: *Phone: *Email: ITEM Number Requested TRAVEL Front Carrier Sling Infant Car Seat (fits 5 lbs – 22 lbs) Infant Car Seat Cover Extra Car Seat Base Convertible Car Seat (fits 5 lbs – 50 lbs) Booster Car Seat (fits ages 4-8) Stroller (single) Please enter number of strollers and kids ages Stroller (double) Please enter number of strollers and kids ages Bike Seat Bike Trailer Shopping Cart Cover ACTIVITY Infant Bouncer Chair Bumbo Seat Jumper (floor/door) Swing Walker / Activity Center Floor Playmat FEEDING High Chair Booster Seat Teethers Pacifiers Bibs Burp Cloths Formula Nursing Pillow Bottles/Nipples Breast Pump Sippy Cups Toddler Utensils BATH & POTTY Changing Pad & Cover Diapers Newborn (up to 10 lbs.) Size 1 (8-14 lbs.) Size 2 (12-18 lbs.) Size 3 (16-28 lbs.) Size 4 (22-37 lbs.) Size 5 (27+ lbs.) Size 6 (35+ lbs.) Diaper Bag Diaper Pail & Liners Potty Infant Tub Towels Washcloths ITEM Number Requested NURSERY Crib Crib Mattress Crib Bedding Boy Girl Neutral Blanket Boy Girl Neutral Crib Toys / Mobile Changing Table Pack-n-Play Bassinet Bed Railing Baby’s Room Accessories Please describe item(s) HEALTH & SAFETY Car Mirror Monitor Safety Gate Baby Proofing Items Doors Cabinets Drawers Outlets Other Please describe item(s) TOYS Infant Toddler Ride On / Push Stuffed Animals BOOKS Infant Toddler Parenting VIDEOS & MUSIC Music Videos / DVD CLOTHING 0-3 mo (summer) boy girl 0-3 mo (winter) boy girl 3-6 mo (summer) boy girl 3-6 mo (winter) boy girl 6-12 mo (summer) boy girl 6-12 mo (winter) boy girl 12-18 mo (summer) boy girl 12-18 mo (winter) boy girl 18-24 mo (summer) boy girl 18-24 mo (winter) boy girl 2T (summer) boy girl 2T (winter) boy girl 3T (summer) boy girl 3T (winter) boy girl Shoes/Boots Please enter size and gender MISCELLANEOUS Please describe item(s) Demographic Info *Race *Age *Marital Status *Age & Gender of Children WeeCycle is under no legal obligation to fill donation requests. The equitable and timely distribution of goods is determined through the discretion and sole judgment of the staff at WeeCycle and is based on what we have in our inventory at any given time. WeeCycle is not responsible for the items after they have left our facility. To the best of our knowledge, all items are functional, safe, and in good condition. *Name: *Date: weecycle123Donate01.28.2016