Register to Receive A Baby Box!

Register to Receive A Baby Box!

If you have any questions, please call Kaleena Thompson at 617-349-3003
Parent/Guardian One:*

First NameLast Name
Parent/Guardian Two:

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian One Phone Number*
Please enter a valid phone number.
Email Address
example@example.com
Parent/Guardian Two Phone Number:
Please enter a valid phone number.
Family Income Level: *
Do you live in Public or Subsidized Housing?*

YesNo
Do you receive any Public Benefits?*

No, I do not receive benefitsSNAPWICTAFDCSSI/SSDIFUELOWD
Child's Birthday*

MonthDayYear
Our baby boxes are categorized by ages 0-6months or 6-12 months. Which do you want to receive?*
We ask that you pick up your baskets from one of our 2 offices in Cambridge. Please choose a pick-up location! *
Additional Information

This will help us personalize your basket to best fit your needs!
Are you in need of any of the items below for your Baby Basket? Please select all that apply.

Diaper BagBaby CarrierBreastfeeding Care Items
What size diapers will you need?*
Would you like to receive fatherhood items? We will also provide you with information about our Cambridge Dads program!

YesNo
Please select one book for dads to receive!
Would you like to receive information about any of the following community resources?

Postpartum/Newborn SupportParent Mental Health ResourcesChildcare ProgramsAssistance with Benefits (SNAP/WIC)Mental Health ResourcesCambridge Public Library programmingChildren's Clothing/Shoes/Diapers NeedsChild Development/Parenting SupportSpecial Needs/Education Resources
Do you want to learn more about how your child learns and grows?
Check out the Ages and Stages Questionnaire (ASQ) here!
By registering for a Baby Box, you will receive the Center for Families Newsletter, which will include information about playgroups, support groups, and community events!

We will also send out a brief survey for you to send feedback regarding your Baby Box and what worked best for you!
Should be Empty:

Register to Receive A Baby Box!

Additional Information