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Moore Care Closet Request
Please complete this form to request a donation from Lyman Moore's Care Closet of food and/or clothing. All requests will be kept confidential and students will be contacted directly to retrieve their items. Students can also ask the social worker or their counselor for help with accessing the Care Closet during the school day.
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* Indicates required question
Email
*
Your email
What is the student's first name?
*
Your answer
What is the student's last name?
*
Your answer
What is the student's grade?
*
6th
7th
8th
Who is the student's advisor?
Your answer
What do you need from the Care Closet? (You may select more than 1)
*
Pantry items (canned goods, snacks, beans and rice, milk)
Fresh food (fruits and vegetables, bread)
Shirts
Shorts
Pants
Dress Tops
Dress Bottoms
Shoes
Socks
Seasonal items (snow pants, warm hats, boots)
Other:
Required
If the student/family is in need of food, please specify what they need and any food allergies or dietary restrictions (e.g. halal, gluten-free, dairy intolerance):
Your answer
If the student is in need of clothing, please specify what they need and relevant sizes (e.g. medium winter jacket, size 10 basketball shoes):
Your answer
What item(s) do you need the most?
Your answer
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