Spring/Summer 2026

The Clothesline Appointments

Spring/Summer 2026
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 of Child #1*

First NameLast Name
Date of birth of Child #1*

MonthDayYear
Date
Name of Child #2

First NameLast Name
Date of birth of Child #2

MonthDayYear
Date
Name of Child #3

First NameLast Name
Date of birth of Child #3

MonthDayYear
Date
Name of Child #4

First NameLast Name
Date of birth of Child #4

MonthDayYear
Date
Free/reduced price lunch letter from 2025/2026 school yearReferral from school social worker or social service providerMy children attend a free lunch community eligibility school (Abingdon, Barcroft, Barrett, Campbell, Carlin Springs, Drew, Randolph, Thomas Jefferson, Kenmore or Wakefield) and I will text a screenshot of their ParentVue Class Schedule
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
EmailText
Which Language do you prefer?*
After you submit this appointment request form you will have the option to fill out a Family Intake form. If you have completed the Family Intake form in the past and there are no changes to your family or contact information you do not need to complete it again.

If you have NOT completed this form previously or there are changes to your family or contact information, please complete the form before your appointment.
Comments / Questions
Appointment Date
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The Clothesline Appointments

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.