New Customer Information

Hello! Welcome to Pop + Tot Cloth Diaper Service! We’re excited to have you here :)

We just have to collect a bit of information about you and your baby in order to get started. Once you’ve submitted this form, we will be in touch in a day or two to arrange a Hello + Demo, where we stop in to meet you, give you a diaper demo, and answer all your questions.

 

Please complete the form below.

Name *
Name
Partner's name (if applicable)
Partner's name (if applicable)
Home Address *
Home Address
Phone *
Phone
This will help give us an idea of what size of diaper your baby will start in :)
If your baby is expected soon, when is their expected arrival?
If your baby is expected soon, when is their expected arrival?
Are you also interested in:
Please select all that apply.
We collect your information for the sole purpose of providing the cloth diaper service. We store your information securely and will not share it without your permission. We respect your privacy.