Beccas Closet SOUTH FLORIDA Appointment Request Form

🚨 ATTENTION — PLEASE READ CAREFULLY 🚨
IMPORTANT: Becca’s Closet serves HIGH SCHOOL girls with financial need who cannot afford to buy a dress for a school-sponsored dance.

✨ Can’t afford a dress for your high school dance in South Florida? We’re here to help!
✨ Our Military Ball/Prom Boutique is in Galleria Mall in Fort Lauderdale.
⚠️ Appointments are required and fill up quickly, so please submit your request as soon as possible.

💖 How It Works
You choose your dress.
You keep it.
It’s completely free.
Our caring volunteers will guide you and help make your experience special.

📌 Before You Request an Appointment
Please make sure all of the following apply:
✔️ You are a current HIGH SCHOOL student with a school ID, or other identification to prove you're a high school student.
✔️ You live in South Florida
✔️ You have financial need and cannot afford to buy a dress
✔️ The dress is for a high school-sponsored dance only

🚫 We do NOT provide dresses for:
8th grade dances
Quinceañeras
Graduation photos or events
Pageants
Cotillions

📞 Important Reminders
Please answer your phone and check your voice and text messages.
A volunteer will call you to schedule your appointment.
If you miss your scheduled appointment without notifying us, you will not be able to reschedule.

🌍 Not in South Florida?
Please visit our website to find an active Becca’s Closet chapter near you.

We look forward to helping eligible girls find a beautiful dress and feel confident for their special night. 💕

IN YOUR OWN WORDS, without the use of AI, please write a short paragraph about how receiving a free dress from Becca's Closet will affect your life. Please share your story!

This is completely optional!

Your Name*

First NameLast Name

Your Email Address*

example@example.com

What is your cell phone number?*

A volunteer will contact you to schedule an appointment at our. Make sure to check your voicemail AND email! If you receive an email, call or voice message from 954-424-9999, please respond promptly.Format: (000) 000-0000.

What Florida COUNTY do you live in*

ex: Miami-Dade, Broward, Palm Beach

What South Florida high school do you go to?*

You must be a current high school student to qualify for a free dress.

12th11th10th9th

PromMilitary BallOther

What is the date of your event?*

Date

What approximate size do you usually wear?*

We understand that you may not know your exact size. If you don't know, please tell us XS, S, M, L, XL

ShortLong gown

Parent/Caregiver's name*

First NameLast Name

Parent/Caregiver's email address*

example@example.com

Parent/Caregiver's cellphone number*

Please enter a valid phone number.Format: (000) 000-0000.

Do you have special needs? Are you in a wheelchair? Are you on crutches? Are you transgender? Do you have any physical or emotional limitations that require special care during your appointment? Please let us know so we can help make your experience a positive, comfortable one.

I agree that I will confirm my appointment when Becca's Closet contacts me.

How did you find out about Becca's Closet?*

What are your social media handles for Instagram and Facebook, if any?

Yes

Becca's Closet SOUTH FLORIDA Appointment Request