Callahan Care Closet at Valley Horizon (E)
Please complete this family needs survey to help us determine what support we may be able to assist with.  You will be contacted by a school employee to discuss the request and schedule a time to visit our pantry.
Email *
Name of the school your child is currently ENROLLED in *
Name(s) of your children enrolled in a Crane school *
Parent/Guardian name *
Phone Number (Best number to reach you at) or email?  *
Number of people in your household or number of people needing assistance  *
Clothing Needs: TOPS. (Shirts/Sweatshirts/Jackets). Please list sizes and quantities for each family member.  Example:  Adult L-2, Child 7/8-3) *
Clothing Needs: BOTTOMS. (Pants/Shorts/Leggings). Please list sizes and quantities for each family member.  Example:  Adult L-2, Child 7/8-3) *
Clothing Needs: SHOES.  Please list adult, male/female, and child male/female, along with sizes for each. *
Other Items Needed (Check all that apply) *
Required
If you checked "Furniture," please list the specific items needed. If you did not select furniture, write "N/A" *
If you checked "Food," please list the types of food your family needs. If you did not select food, write "N/A" *
If you checked "Hygiene/Sanitary Products," please list specific items and quantities. If you did not check this, write "N/A" here *
What would be the best day(s)/time(s) for you to come to our closet? *
Please briefly share the circumstances that led you to request assistance.  (This helps us better support your family) *
Is there anything else we can help with? *
A copy of your responses will be emailed to .
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