• Pregnancy & Baby Preparation Support Request

    The Halo Morales Foundation is committed to helping families prepare for the arrival of their baby by providing education, essential baby supplies, safe sleep information, and connections to community resources. If you are currently pregnant and would like to support preparing for your baby, please complete this form. Your responses help us understand your family's needs and determine how we may be able to support you or connect you with available resources. Submitting this form does not guarantee assistance. Services and supplies are based on eligibility, availability, and current program capacity.
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Preferred method of contact:*
  • Are you the parent/expectant parent?*
  • Estimated Due Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is this your first baby?*
  • Are there other children living in your household?
  • Are you expecting one baby or multiple?*
  • What items would be most helpful as you prepare for your baby? *Select all that apply.**
  • How would you describe your current knowledge of infant safe sleep?*
  • Would you like to receive infant safe sleep education?*
  • Would you like support with preparing for your baby's arrival, such as appointment reminders, preparation resources, safe sleep education, and connecting with community resources?*
  • Do you need help finding resources in your area?*
  • What types of resources would be helpful to you? *Select all that apply.*
  • Do you currently have a prenatal Care provider? (OB/GYN, Midwife, etc)*
  • Do you have reliable transportation to your prenatal appointments?*
  • Would assistance with transportation resources be helpful?
  • How would you describe your current support system?*
  • Is there anything happening in your life right now that may make preparing for your baby more difficult?*
  • How did you hear about the Halo Morales Foundation?*
  • Today's Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: