Hope Room Visit

Hope Room items for children and youth we serve

New items depending on funding: car seats, bedding, beds, mattresses, diapers, clothes, shoes and/or gift cards. Please detail items you are looking for and we will fulfill your need, if possible.
Please note that any item provided to caregivers belongs to the foster child/youth & should go with them if they move placement. When beds or furniture are provided, these should also go with the foster child/youth, where possible. If these items cannot be sent with them, please contact Homes of Hope to discuss. Thank You!
Caregiver Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Social Worker's Name and Office (or N/A)*
Name of foster/ adopt Child*

First Name
Child's relationship to Caregiver*
If "Other", please describe
Child's Age*
Child's Gender*
boy or girl
Name of 2nd foster/adopt Child

First Name
2nd Child's Age
2nd Child's Gender
boy or girl
Name of 3rd foster/adopt Child

First Name
3rd Child's Age
3rd Child's 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
If requesting a car seat, please give weight of child and whether car seat needed is forward or rear facing.
Foster/adopt child #2
Foster/adopt child #3
Our office is usually open Tuesday - Thursday from 10 am to 3 pm in Lewiston. To pick up items, indicate here when you are available during our office hours.
We may be able to ship items directly to you. 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.
Should be Empty:

Hope Room items for children and youth we serve