Coats, Gloves and Love Registration
Ensuring that every child, birth through high school, has warm weather apparel during the most challenging time of the year with adverse weather conditions.  

Please note:  completing the registration does not guarantee a coat.  Coats will be given based on availability.  Those pre-registered will have an opportunity to get a coat, if available, first.

Address: 2624 Brandis Avenue, South Park, PA 15129
Contact us at 412.835.7220 or MyLifeBuilders@gmail.com
Sign in to Google to save your progress. Learn more
Parent Name (First and Last) *
Cell Phone  *
Address (full address including zip code required to be considered registered) *
Email *
Which location will you be attending?
Clear selection
Child #1 First and Last Name *
Child #1 Birthdate *
Child #1 Coat Size *
Shoe Size *
Do you want to register another child? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy