FLW Community Resource/Locker Order Form

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Please fill out form the best you can. If you have any questions please call (414) 604-3416.

*Required

Untitled Title

*Family Name

*Phone Number and email address

*How many people are in your immediate family?

Do you have children at FLW? If yes, please list their names.

Children Clothing Request

Click all that apply. You may need to scroll right to see all choices.

Boy's Small

Boy's Medium

Boy's Large

Girl's Small

Girl's Medium

Girl's Large

Short Sleeve Shirt

Long Sleeve Shirt

Sweatshirt

Hat

Gloves

Shoes

Clear selection

Adult Clothing Request

Click all that apply. You may need to scroll right to see all choices.

Boy's Small

Boy's Medium

Boy's Large

Girl's Small

Girl's Medium

Girls' Large

Short Sleeve Shirt

Long Sleeve Shirt

Sweatshirt

Hat

Gloves

Shoes

Clear selection

Please use the space below for additional comments about clothing requested.

Food Request

Yes, we would like a package of non-perishable food.

No, a package of food is not needed at this time.

Clear selection

If yes, does your family have any allergies?

School Supplies

Please indicate what supplies are needed. (notebooks, pencils, crayons, markers, glue, folders etc.)

Community Resources

Are there additional family needs? We have some information for you. (counseling, weatherization, etc.)

Submit

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