Fall/Winter 2024/2025

The Clothesline Appointments

Fall/Winter 2024-2025
Appointment*
Name of Parent*

First NameLast Name

Let us know about your eligible children (grades K-12). Children in preschool are not eligible for services from The Clothesline. If you are shopping for more than 4 children, please make 2 back-to-back appointments. The last appointment of each day is limited to 2 children.*

	Name	Age
Child 1
Child 2
Child 3
Child 4

I will text a photo of one of the following to 571-354-7240 before my appointment or email a copy to contactclotheslinearl@gmail.com*

Free/reduced price lunch letter from 2024/2025 school yearReferral from school social worker or social service providerMy children attend a community eligibility school (Abingdon, Barcroft, Barrett, Campbell, Carlin Springs, Drew, Randolph, Kenmore or Wakefield) and I will text a screenshot of their ParentVue Class Schedule
Phone Number*
Please enter a valid phone number.
Email
example@example.com
All families must update their contact and other information for the 2024/2025 school year. After you submit this form you will receive a reply that includes a link to a Family Intake Form. Please complete the Family Intake Form before your appointment.
Comments / Questions
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The Clothesline Appointments