Hope Room items for children and youth we serve
Possible new items depending on funding: car seats, bedding, diapers, clothes, shoes. Please ask for other items and we will fulfill your need, if possible.
Caregiver Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Social Worker's Name and Office (N/A if adopted)
Name of foster/ adopt Child
*
First Name
Age
Gender
boy or girl
Name of 2nd foster/adopt Child
First Name
Age
Gender
boy or girl
Name of 3rd foster/adopt Child
First Name
Age
Gender
boy or girl
Please be specific in telling us what you need in clothing or furniture for each child. Tell us the sizes, gender, and shoe sizes.
*
Foster/adopt child # 1
Foster/adopt child #2
Foster/adopt child #3
Our office is usually open Monday - Thursday from 10 am to 3 pm in Lewiston. To pick up items, indicate here when you are available during our office hours.
Need items delivered? Please write delivery location: a physical home address, or social worker's office. If a home address, shipping will occur from the merchant where we purchase your items.
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