Assistance Request
Do you need help with the challenges presented by COVID-19? Fill out this form and we will do what we can to help! If you're not from Everett, we will try our best to connect you with someone closer to your location that can help.
Name *
Your answer
Email address *
Your answer
Request (Choose one): *
Kid's Activity Pack - We offer an activity pack for kids. The pack includes crayons, coloring pages, & play-doh. If you would like a kid's activity pack, please indicate by selecting the number below: *
Address: Where to drop off? (Please provide: your street, apartment number, city, and zip code) *
Your answer
Phone Number: To text when drop off is made: *
Your answer
Preferred Language: *
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