Language
English (US)
Spanish (Latin America)
High EnerG In‑Kind Donation Form
Please fill out this form to coordinate your donation and schedule a drop‑off or pick‑up.
Contact Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Items You’re Donating
What items would you like to donate?
*
Hygiene items
Journals/notebooks
Art supplies
Affirmation cards
Snacks/water
Gift cards
Glow Kit items
Other
Quantity or details about your donation
Drop‑Off or Pick‑Up
How would you like to deliver your donation?
*
I would like to schedule a drop‑off
I need a pick‑up
Either works
Preferred date/time for drop‑off or pick‑up
Additional Notes
Anything else we should know?
Submit Donation
Should be Empty: