Assistance Request Form

Request Form

Need something? We may be able to help!

All items are in new or nearly new condition.

We will do our best to fulfill your requests but cannot promise that we will have all items or the requested sizes, since we rely completely on donations.

We will let you know if we do not have specific items.

NOTE: More than one child? If you are requesting items for more than one child, you need to fill out a separate form for each one.

If you have questions or concerns, give us a call: 508-514-7125.

Assistance Request

Caregiver Information

First Name

Last Name

Town

Pick one for preferred method of communication, then fill in below

Email

Telephone / text

Email

Telephone / text number

Your relationship to child:

Foster / pre-adoptive parent

Relative caregiver

Social worker

Other

Relative caregiver

Other

Child's Information

Choose one

Male

Female

Not listed

Prefer not to answer

Age

Sizes

Clothing

Shoe

Diaper

Other items requested

Select (a)

Select (b)

What size bedding?

Infant or convertible car seat?

Specify formula

Select (c)

Select (d)

Is there something else you need?

When would you like these items?

How did you hear about us?

Cape Cod Foster Closet is a program of Nurturing Foster Families, a registered 501(c)(3) organization.

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