New Customer Registration Form

Neighborhood Storehouse: New Parent Application

Apply as a Toledo resident to be a first to participate in GOHer’s storehouse project, coming October 2026. We are striving to make a tangible difference in the lives of families like yours. Whether pregnant or legally parenting children between the ages of 0-3yr, if you have been negatively impacted by recent governmental shifts then you are in the right place! Our goal is to offer a safe space and reliable resources for our community to fall back on in times of need and desperation.
Repient Information:

Please complete this section if you are applying to receive access to the Storehouse.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Please specify the governmental change that is affecting the stability of your household (e.g. decrease in SNAP benefits, abrupt workforce changes, etc.) and thoroughly describe how you have been impacted.*
Upload documentation to support your eligibility (e.g., proof of new parent status/pregnancy, late or unpaid bills, proof of unemployment, etc.)*

Cancelof
Age of Youngest Child (enter “4” if pregnant)*
SingleMarried
FoodClothing & BlanketsInfant Care (diapers, formula, diaper bags, etc)Child Play/Safety/DevelopmentPostpartum (nipple cream, peri bottles, nursing pads, etc)Household Goods (vacuum, kitchenware, curtains, etc)Health & Hygiene (first aid, toiletries, vitamins, etc)
How did you hear about us?*
Please Specify (if “Other”)
Should be Empty:

Neighborhood Storehouse: New Parent Application