Infant Health

Thank you for your interest in the Safe Sleep Education Program!

Please fill out the information below to determine if you qualify.

You must be pregnant or have a baby under 12 months of age. You must reside within the Pasadena, Altadena, or Sierra Madre area to qualify for the program.

If you are unsure whether you qualify, fill out the form and staff will contact you with additional information. Once you complete the information below, you will receive a call within 2-3 business days to conduct a 5-minute enrollment over the phone.

Baby sleeping in crib

WIC Menu

Safe Sleep Education Program Interest & Eligibility Form
Your name
Your name
First
Last
Are you currently pregnant?
Are you a caregiver of a baby under the age of 1?
Please check if you are eligible/currently enrolled in one or more of the following programs (select all that apply):
Are you in need of a crib for your baby? (Must have Medi-Cal eligibility)
How did you hear about the Pasadena Safe Sleep Education Program?
What is your preferred language?
After you hit SUBMIT button below, your interest form will be submitted and you will receive a confirmation of your submission.
Please, avoid submitting duplicate requests.