2026 Baby Bottle Drive Registration
Kick-Off Dates: Saturday April 25th and Sunday April 26th. Bottle Collection Weekend Sunday, May 17th.
Church Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pastor Phone
-
Area Code
Phone Number
Are you a
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New Church
Returning Church
Pastor
*
First Name
Last Name
Pastor Email Address
*
example@example.com
What is your Pastor's preference for communication?
Phone
Text
Email
Through admin assistant
Other
Current Church Office Hours
*
Church Service Times
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Would you like a Stanton representative to speak at your service(s)? If yes, please indicate for how long in the comments section below.
*
Yes
No
Please confirm with us approx. 30 days prior
Would you like a Stanton representative to: (Check all that apply)
Speak at your service(s) for 3-5 minutes?
Answer questions at the Stanton table?
Speak for the whole service?
Our Pastor's Luncheon is on Thursday, February 12th from 11:30 AM to 1 PM. We highly recommend attendance for churches to learn about Stanton Healthcare and for this year's updates. Please RSVP for your pastor.
*
Yes
No
Maybe
Your Pastor is welcome to bring their spouse, additional staff members or other interested Pastors. Please list additional names for those who will attend:
Would your Pastor and Staff like a tour of one of our clinics?
Yes
No
Maybe
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Liaison and Volunteer Information
A liaison is the primary contact between your church and Stanton, and project manager for the Baby Bottle Drive. A liaison is expected to recruit volunteers, attend a training session, and facilitate all aspects of the drive.
Liaison Name
*
First Name
Last Name
Liaison Email
*
example@example.com
Liaison Phone Number
*
-
Area Code
Phone Number
What is your preference for communication?
*
Phone
Text
Email
For any questions or communication, may we text you?
Yes
No
Our required Stanton Volunteer Training is on Thursday, April 9th. There is a 12 PM or 6 PM training. During the training, you will receive your church supplies and crates of baby bottles, and will be trained on how to present Stanton to your church. Which training would you like to attend?
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Thursday, April 9th at 12 PM
Thursday, April 9th at 6 PM
If you are unable to attend, please share the name, email and phone number of the volunteer who will represent for your church.
First Name
Last Name
Volunteer Email
example@example.com
Volunteer Phone Number
-
Area Code
Phone Number
Depending on the size of your congregation, we recommend you recruit volunteers to help pass out bottles and man the table. How many volunteers do you anticipate helping you?
In the rare event that you are unable to find a volunteer to manage the Baby Bottle Drive, do you need us to send a Stanton representative to run the whole drive for you?
Yes
No
On May 17th, we ask all churches to collect the bottles and deliver them to our Meridian Clinic between 11 AM and 4 PM. This is usually the responsibility of the liaison. If not you, can you recruit a volunteer team to drop off the bottles and bin of supplies?
Yes
No
If yes, what is the name, phone number and email of your volunteer?
First Name
Last Name
Volunteer Email
example@example.com
Volunteer Phone Number
-
Area Code
Phone Number
On May 17th, at our Meridian Clinic, we process all the donations received through the Baby Bottle Drive. This is a fun exciting day with more than 40+ volunteers taking part. It's not a requirement to attend, but we are grateful for any help we can get. Will you or a different church volunteer be able to process on May 17th? Food will be provided!
Yes
No
Maybe
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Event Supply Survey
During the Baby Bottle Drive, you will receive a bin of tabling supplies, a Baby Bottle Drive sign and crate of bottles according to your church size. Please fill in the following information so we ensure you receive the correct number of supplies and digital items.
What is your church's average service attendance? (Count all services)
*
Do you need us to provide you with a six-foot table for the supplies?
Yes
No
Before the drive begins, we will send your church a digital package of assets for the drive. This package includes videos, slides, social media images and more. Please provide the name and email for the best person to receive these materials.
First Name
Last Name
Staff Email
example@example.com
Staff Phone Number
-
Area Code
Phone Number
We will equip your church with a video to play during your service(s). There are two video lengths to choose from. Both include a client story and instructions for filling a baby bottle. Please ensure your pastor approves the video. Can you confirm your church intends to play the video?
*
Yes
No
Submit
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