Variety Family Care Packs
Variety of Illinois has limited quantities of sought after supplies & working to get more of what our families of kids with disabilities need most during this time. Please fill out the following and we'll be in touch if we can help! If you have any questions please contact
Sign in to Google to save your progress. Learn more
Email *
COVID-19 Protection Items *
I don't use/have all I need
I use this & have enough for now
I use this and am running low
I need this!!
Adult cloth face coverings
Child cloth face coverings
KN-95 face masks
Disposable gloves
Home sanitizing products (spray, wipes, 99.9% cleaners
Personal sanitizing products (gel or spray)
Immunity Boosters (like Emergen-C)
Paper Towels, TP, other paper goods
What is the item you can't find anywhere but feel you need the most? *
How many kids (age & gender) and adults in your household? *
What is your child(ren)'s disability? *
Your name and address *
Phone number
Is there anything else Variety might be able to do for your family or supplies we can help locate at this time?
Clear form
Never submit passwords through Google Forms.
This form was created inside of Variety The Children's Charity of Illinois. Report Abuse