Self-Care Laundry Day

Self-Care Laundry Day
Thank you for your interest in Self-Care Laundry Day! Please complete the registration form in full. All laundry supplies will be provided, with a maximum of two loads per child. Transportation will be offered by licensed and fully insured adults. If you have any questions, feel free to contact Mo at (424) 337-0759.
Date Attending*
Children Attending*
Transportation Required?*
Pickup Location*

Street Address 1

Street Address 2

CityState

Zip Code
Drop Off Location
Drop Off Location*

Street Address 1

Street Address 2

CityState

Zip Code
Parent/Guardian*

First NameLast Name
Contact Number*

Area CodePhone Number
Email
example@example.com
Should be Empty: