Clothing Request Form

Clothing Request Form

At Give Like a Mother we understand that sometimes it takes a village to raise a family. We are happy that you reached out and that we are able to help!
DUE TO THE HIGH VOLUME OF REQUESTS FOR FALL CLOTHING, ORDERS ARE DELAYED! IT MAY TAKE UP TO 4-6 WEEKS FOR YOUR ORDER TO BE FULFILLED.

THANK YOU FOR YOUR PATIENCE AND UNDERSTANDING.
Para completar este formulario en Español, haga clic AQUÍ.
PLEASE READ THE FOLLOWING:

1. You will receive mostly gently used clothing donations. Some items may have flaws and we may not have certain sizes. You can exchange ill-fitting items within 2 weeks of receiving your clothing order(s).

2. Clothing orders may take up to 3 weeks to fulfill! This depends on a variety of factors like available inventory and the number of requests we receive. We will contact you when ALL orders placed by you have been completed.

3. You or someone you know must be able to pick up your order(s) from our facility located at 4601 Eastgate Blvd, Cincinnati OH. We will hold your clothing order(s) for no longer than 3 weeks after we have contacted you. Please check for our messages!

4. You will be asked to provide you and your child's Social Security Number (SSN). Please have this information readily available prior to completing the form.

5. Please complete 1 form for each of your children. Once you have completed the first request, click the button on the thank you page that says "Submit Another Request." Please check for a confirmation email upon submission.

6. DUE TO THE HIGH VOLUME OF REQUESTS WE HAVE RECEIVED WE HAVE IMPLEMENTED A LOTTERY SYSTEM IN THE FOLLOWING COUNTIES:

Hamilton, Butler, Pendleton, Kenton, Boone and Campbell.

Requests will be selected at random. You are still able to complete this clothing request form, but there is NO GUARANTEE that you will receive clothing assistance. We will inform you if you have been selected as a recipient. You will receive an email indicating if you have been selected or not within a week of your submission.

We are dedicated to serving as many families as we can. Thank you for your patience and understanding. You can reach us at contact@givelikeamother.org if you have any questions!
I, Your Name* , have read and understand the above.

I am a*

Primary caregiver; a parent, legal guardian, or kinship caregiver.Social worker, teacher, counselor, resource coordinator or other professional.Family member, friend or other individual completing this form on behalf of a family.
Have you received clothing from Give Like a Mother before?*

YesNo
Give Like a Mother is committed to ensuring the privacy of individuals and families who request our help. The information you provide will be kept confidential and will not prevent you from receiving assistance.*

I understand.

For the purposes of this form, the parent or legal guardian is referred to as the primary caregiver.
Please provide your contact information below.

You will fill out the family's information in the next section.
Please select the answer that best describes you.*

I am completing this form in the presence of a primary caregiver. They will be able to provide a signature to attest the following information is true to the best of their knowledge.I am completing this form on behalf of a primary caregiver who is not present. I am unable to provide the primary caregiver's signature at this time.
Your Name *

First NameLast Name
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
Will you be picking up on behalf of the family you are making a request for?*

Yes.No.I'm unsure.

Please ensure a completed copy of this form is returned to Give Like a Mother.

Please print this document and have the primary caregiver complete it. Only one copy is required for each family. If you cannot print from this request form, the form can be found at our website!
Please read and check the following:*

Sizing and Gender

Please take care in selecting the correct sizes for the child.
Child's Gender*

MaleFemalePrefers female clothing but is male at birth (will receive girls/women's clothing)Prefers male clothing but is female at birth (will receive boys/men's clothing)
Does this child wear INFANT, TODDLER, YOUTH or ADULT sizes?*

Infant (Newborn to 24 months)Toddler (2T to 5T)Youth (6-7 to 18-20)Adult (XS - 6XL)

School

Please fill out the information below to the best of your knowledge.
Is this child in school? (Kindergarten - 12th grade)*

YesNo

Be sure to check your email and texts for our message when your pack(s) are complete!

Due to the high volume of clothing requests, your order may take up to 4-6 weeks to complete. Please contact us if you have any questions. Thank you for your patience!
Would you like to pick up your clothing items from Helping Hands Food Pantry in Georgetown OH?

YesNo
Code
Unless instructed by staff to use a code, please leave blank!
Should be Empty:

Clothing Request Form

Please provide your contact information below.

Please ensure a completed copy of this form is returned to Give Like a Mother.

Primary Caregiver Information

Household Information

Child Information

Sizing and Gender

Infant and Toddler Sizes

Youth Clothing Sizes

Adult Clothing Sizes

Additional Items and Information

School

Referral

Pick Up

Be sure to check your email and texts for our message when your pack(s) are complete!