Cares Package Program Registration

Cares Package Program Registration

Register for the care package program, select your items, and choose a pickup time.
🌹About the Royal Rose Package Program🌹

In Loving Memory of Sheres: In memory of Sheres — whose kindness, compassion, and deep love for community continue to guide our work — the Royal Rose Foundation offers the Royal Rose Cares Package Program.

1. This program exists to support invidivuals and families by providing complete hygiene care packages. Currently, Cares Packages are available for PICK UP only.

2. This form helps us understand your preferences and needs, select as many options as you need to complete your kit.

3. You are not required to be in crisis to receive support. If a care package would be helpful to you or your household, you are welcome here.

A Note on Inventory: Apart from statndard kits, item availability may vary week to week. While we may not be able to fulfill every specific request, we will do our best to provide a well-rounded package. https://example.com/rose-kit-image.jpg
At this time, Cares Packages are pick up only. Pick up at our SE Portland office.

Pickup Location:

📍 3534 SE Main St, Portland, OR -- A Royal Rose team member will be on-site during pickup hours to assist and answer questions.

☎️ Questions, Accommodations, or Additional Support? We are here to support you.

📞 503-449-0317

📧 info@royalrosefoundation.org

If you need accommodations, have questions, or are seeking additional resources, please let us know — someone from our team will follow up.
Full Name*

First NameLast Name
Contact Info

Contact phone number or email address is requited to fulfill order request.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
A phone number or email is required to complete the form.
ZIP Code
Standards Kits

Please select one or more standard kits according to your need. (Organizations
Basic Hygiene (Toothbrush, Toothpaste, Dental Floss, Bathing Wipes, Body Soap, Hand Sanitizer)Menstrual Care (Face Soap, Monistat Chaffing Cream, Pads, Panty Liners, Tampons)Wound Care (Adhesive Wound Wrap, Alcohol Prep Pads, Antibacterial Ointment, Band Aids, Bandage Wrap, Gauze Pads, Ointment)Narcan (Narcan, Gloves, Hand Sanitizing Wipes)
Add-Ons

The items below can be added on to any standard kit. Please take note of what is already included in the kit(s) you've ordered so as to NOT MAKE ANY DUPLICATE ORDERS.
ToothbrushToothpasteDental FlossBathing WipesWet One Face and SkinFace SoapBody SoapBand AidsAce Bandage WrapFoot Powder SprayAntibiotic OintmentSPF Cetaphil (Sunscreen)Aloe Vera GelCold/Hot PackNeosporinChapstick
Regular TamponsSuper TamponsMaximum Poise PadsLarge Prevail Daily UnderwearRegular PadsThin PadsPanty LinersAnti-Chafing CreamSummer's Eve Douche
Trojan Non-Latex CondomsTrojan Bareskin CondomsMagnum Regular CondomsMagnum Thin CondomsDurex Non-Latex CondomsPregnancy Test
Face MaskSmall GlovesSmall Gloves (non-latex)Medium GlovesMedium Gloves (non-latex)Large GlovesLarge Gloves (non-latex)Hand SanitizerLysol WipesNarcan (Please follow up at www.royalrosefoundation.org for Narcan)
Black or African AmericanLatino/a/x or HispanicNative American or Alaska NativeAsian or Asian AmericanNative Hawaiian or Pacific IslanderWhiteMiddle Eastern or North AfricanMultiracialPrefer not to answerOther
WomanManTransgenderNon-binaryGenderqueerGenderfluidAgenderPrefer not to answerOther
We invite you to share your reasons for requesting a care package or how receiving this support has positively impacted your well-being. Your response will help us better understand and serve our community with compassion and respect.
Select your preferred pickup time*
I understand that I am responsible for picking up my Cares Package at 3534 SE Main St, Portland OR 97214. *If you are unable to make it to the scheduled pick up time, you must call or text (503)449-0317 to reschedule. If you fail to call or text your Cares Package may be restocked. If your Cares Package is restocked you may submit a second request. If you fail to make it to the scheduled pick up time AND do not call or text to reschedule for a second time you will no longer be able to request a Royal Rose Cares Package. This respects our volunteered time and the limited space we have available for storage.
Please type your initials
Should be Empty:

Cares Package Program Registration

Contact Info

Standards Kits

Add-Ons