Refuge Closet Clothing Request

The Refuge Closet Clothing Request

We are located at Fairview Baptist Church, 127 Airline Road, Columbus, MS 39702.
Your Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Who is Requesting Clothes?
How did you hear about us? (Social worker, School counselor, other)
School
Age
Gender
Shoe Size
Shoe Size Category
Shirt size
Shirt Size Category
Pant size
Pant Size Category
At a school with uniforms? (if so, what colors?)
Race (to match hair products with hair type)
Need diapers, pull-ups, or underwear?
What size (diapers, pull-ups, or underwear?)
Bra needed? Please include size below.
Other needs? (Do you need clothing for work, church, general or school?) Any (Specifics we need to know?)
Prayer Requests?
You will be contacted by the church office when your clothing is ready for pick up. Monday-Thursday, 8:30 a.m.-3:30 p.m. and Friday, 8:30 a.m.-2:00 p.m.
Should be Empty:

The Refuge Closet Clothing Request