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Complete the recipient application with all signatures

To enroll your agency in our program, please follow this link:

If you would prefer to mail in an agency application, follow the steps below:

Click here for the form (type in the information then print for signatures)
Click here to print a blank form

We file the applications by the child’s date of birth therefore a
different application will need to be submitted for each child
even though they are in the same family. The only exception
would be twins, etc. with the same date of birth.

E-mail it to This email address is being protected from spambots. You need JavaScript enabled to view it.

Referrals that are received during the current week will be
available to be picked at Second Calvary Baptist Church
by you or an agency representative on Wednesday of the following week

* between the hours of 10am to 12 noon.

Second Calvary Baptist Church, 114 Nelson Avenue, Charlotte, NC 28216

 

Re-order Referrals

Complete re-order form (no signature required)

Click here for the form (type in the information then print for signatures)
Click here to print a blank form

E-mail it to This email address is being protected from spambots. You need JavaScript enabled to view it..

Re-orders that are received during the current week will be
available to be picked up at Second Calvary Baptist Church
by you or an agency representative on Wednesday of the following week

* between the hours of 10am to 12 noon.

Second Calvary Baptist Church, 114 Nelson Avenue, Charlotte, NC 28216

 

Parents/Families

Bottles N Bottoms works with existing agencies that are
already assisting families in need and does not distribute
diapers or formula directly to parents/families.