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Teen Threads self referral form
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Email
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Your email
Please state your full name
Your answer
Please state which town you live in
Your answer
Please provide your contact number
Your answer
Please tell us why you require support from Teen Threads
Financial hardship
Refugee/Asylum seeker
Homelessness
Ill-health
Escaping domestic violence
Single parent/carer
Care leaver
Other:
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Have you received help from us before?
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How many children do you need support for? Please state their ages/gender
Your answer
What items do you need help with?
Boys toiletries
Girl toiletries
Bedding
Towels
Clothes
Shoes
Sports clothes/shoes
School clothes
School shoes
Bags
Is there anything else you require or would like us to know about your request?
Your answer
We understand that all families will have different needs regarding the items they require. We will always try our best to provide as many of the required items. However, we may not always be able to fulfil 100% of the referral.
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