Clothe the Kidz Request
The Clothe the Kidz Program is to help provide that NEW & FRESH start to the new school year by providing that basic needs to our local children while creating the FEELING of an equal opportunity to thrive.
DISCLAIMER* WE CANNOT GUARANTEE SPONSORSHIP, IF YOU ARE SELECTED YOU WILL BE CONTACTED WITH A PACKET AND DEADLINE FOR SUBMISSION.
Parent/Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Can you attend one of these shopping days?
*
Elementary- August 2nd
Middle School/High School Girls- July 17th
Middle School/High School Boys- July 18th
Please explain your current situation and why you are in need of assistance
*
Child's Name 1
*
First Name
Last Name
Grade child 1 is entering?
*
Name of School
*
Gender- child 1
*
Male
Female
N/A
Child's Name 2
First Name
Last Name
Grade child 2 is entering?
Name of School
Gender- child 2
Male
Female
N/A
Child's Name 3
First Name
Last Name
Grade child 3 is entering?
Name of School
Gender- child 3
Male
Female
N/A
Permission to Contact?
*
How did you hear about us?
*
Did you receive a Clothe the Kidz Voucher from your child's School?
*
Are you receiving any public assistance at this time? If yes, what type of assistance?
Interested in a Adventure Day Camp at the 4h?
*
Submit
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