July Pick-Up Form

Pick-Up Form

Please fill in the July pick-up form below to schedule when you would like to get items for your child(ren). We have items for children ages Newborn - 5 years old. Item supply is based on donations. Items may be picked-up every 30 days! This form is ONLY for this month.
Name

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
How Many Children Will You Be Picking Up For?
Please list each child's first and last name and date of birth. (Only 5 years and younger)
Pick-Up Date*

My Products

Wipes1 Pack Per Family

$ Free

Girl's ClothingPlease select all GIRLS clothing that you need. If you do not need clothing, please skip this question as we have a limited supply.

$ Free

Size	For How Many Children?
Newborn
0-3mo
3-6mo
6-9mo
12mo
18mo
2T

Boy's ClothingPlease select all BOYS clothing that you need. If you do not need clothing, please skip this question as we have a limited supply.

$ Free

Size	For How Many Children?
Newborn
0-3mo
3-6mo
6-9mo
12mo
18mo
2T

FormulaPlease select what formula you need. If you do not need formula, please skip this question as we have a limited supply. If out of stock, we may substitute an equivalent formula. Check with your pediatrician before switching brands.

$ Free Quantity

Diapers

$ Free

Size	For How Many Children?
NB
1
2
3
4
5
6
2T-3T
3T-4T
4T-5T

Total

$0.00

PICKUP AT NEW HOPE FAMILY SERVICES - 3519 JAMES ST. SYRACUSE, NY 13206

If you cannot make your appointment, please call or text 315-437-8300 before your scheduled time. If we do not hear from you, we cannot gaurentee that your items will still be available.
Any Other Notes?
In the future, we provide in-person appointments, allowing you to select your own baby items and have a one-on-one conversation with one of our advocates. Appointments are typically 45 minutes.

Please call or text us at 315-437-8300 if you are interested in a future in-person appointment.
Should be Empty:

Pick-Up Form

In the future, we provide in-person appointments, allowing you to select your own baby items and have a one-on-one conversation with one of our advocates. Appointments are typically 45 minutes.