Diaper Bank Distribution Request Form 2021-22

The data from this Distribution Estimation will be entered into the Junior League of Baton Rouge Diaper Bank database for each agency. All information will be kept in a secure manner and not released to any external organization other than in aggregate for grant writing and audit purposes. To estimate your organization’s need for diapers, we ask that you complete the following information for your current clients. 


The National Diaper Bank Network estimates diaper need at 50 diapers per month per child. For example, if you service 25 Newborns, diapers are supplied at 50 diapers per month. For your Newborns, you would receive 1,250 diapers.

Please complete the blanks below indicating the number of children your agency serves on a quarterly basis.