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Care Closet Request Form
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* Indicates required question
STUDENT(s) NAME. CLASS(ES)
*
Your answer
Please select any personal hygiene products you need.
Soap
Toothpaste
Toothbrush
Tissues
Shampoo/Conditioner
Q-tips
Cotton Balls
Please select any clothing products you need.
New or gently used hat
New or gently used jacket
New or gently used scarf
New or gently used mittens or gloves
New packages of underwear
new packages of socks
coats
shoes/sneakers
pants/jeans
Shirts
Other:
If you are selecting any clothing items, please let us know the size and gender for the items you need.
Your answer
Please select any non-perishable food items you may need.
Canned beans
Canned vegetables
Canned fruits
Rice
Dried beans
Pasta
Peanut butter
Shelf stable milk
Granola bars
Cereal
Fruit snacks
Oatmeal packets
Water
If there is anything that is
not
on this list that you NEED help with, please fill out below.
Your answer
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