The Great Cloth Diaper Change — Northern California Region Saturday, April 23rd, 2011 (9am)

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Pre-Registration Form (Please fill out one entry for each baby/toddler).
Come and help set a Guinness World Record (TM)!

Cloth Diapers have come a long way in the past 10 years and it's time to stand up and be noticed. Join the cloth diaper community on April 23rd, 2011, at 9am PDT to set a world record for the most cloth diapers changed simultaneously. There will be families on several continents joining us! Due to space constraints, pre-registration is advised. If space is available on day of event, onsite registration will be accepted but cannot be guaranteed.

<b>Event Rules:</b>
1. Arrive on time!
2. For this record, each baby must be changed from a cloth or disposable diaper into a reusable cloth diaper that must be able to be purchased online or in a retail store. Unfortunately, homemade diapers that are not commercially available cannot be used. This is a very strict rule from Guinness World Records (TM).
3. All babies and toddlers must be 39 inches or shorter.
4. Each baby must be paired with exactly one adult participant.

<b>Donations:</b>
Please bring $1 (or more) as a donation to the Real Diaper Association, the 501(c)(3) nonprofit organization dedicated to spreading the word about reusable cloth diapers.

Please mark off the location that you will attend (please be sure to get to the location by 9am to qualify) *

Alameda, organized by Tot Tank, meeting location: Tot Tank 1413 Park St. Alameda CA 94501

Campbell, organized by RDA members & Tiny Tots, meeting location: Campbell Community Center 1 West Campbell Ave. Campbell CA 95008 (this event will be held in conjunction with the 31st Annual Eggstravaganza sponsored by Kiwanis Club)

Berkeley/Lafayette, organized by Nurture Center, meeting location: Our Savior Lutheran Church 1035 Carol Lane Lafayette CA 94549

Palo Alto, organized by Blossom Birth Services, meeting location: 299 S. California Ave, Palo Alto, CA 94306

San Francisco, organized by Natural Resources, meeting location: 1367 Valencia St., San Francisco, CA 94110

First Name of the Adult *

Last Name *

City *

State

Zip

Telephone *

Email *

First Name of the Baby *

Last Name of the Baby

Birth Year Of Baby

YYYY

Height of Baby (inches) *

How did you hear about this event?

Thank you for preregistering! Please let us know if you have any questions or suggestions. Join the International Facebook page (http://www.facebook.com/tinytotsdiaper#!/greatclothdiaperchange) and keep updated on what's going on around the world at www.greatclothdiaperchange.com

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