FLW Community Resource/Locker Order Form
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
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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