New Parent Kit ORDER FORM - DISTRIBUTORS
The FREE Kit for New Parents recognizes parents as their child's first and most important teacher and includes information on good health, loving relationships and early learning opportunities. Kits are customized for Calaveras County residents with local information on services and resources.
Email address *
KITS REQUESTED BY:
Who will be distributing the kits?
Organization: *
Your answer
Contact Name: *
Your answer
Phone Number: *
Your answer
# Kits Requested:
Captionless Image
1 Kit
2 Kits
3 Kits
4 Kits
1 Box (5 Kits)
2 Boxes (10 Kits)
3 Boxes (15 Kits)
4 Boxes (20 Kits)
English
Spanish
Cantonese
Korean
Mandarin
Vietnamese
DATE KITS NEEDED: (Please allow up to 2 weeks for orders of more than 5 Kits) *
MM
/
DD
/
YYYY
PICKUP OR DELIVERY? (Minimum of FIVE (5) KITS required for free delivery) *
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