The Oasis Care Closet Registration Form
The Oasis Care Closet exists to provide practical necessities to our local community that is in need for one reason or another! Please fill out the form below with your needs and one of our team members will follow up with you!
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First Name *
Last Name *
Phone Number *
Email Address *
Address
Zip Code *
Please check the below if your household falls under any of the below categories.
 *
Required
Have you utilized the Care Closet before? *
Which below best describes you *
If you are with an agency or organization, please list which one below
How did you hear about us? ( Please list any referrals etc.) *
Are you a foster/adoptive/kinship family? *
Did an agency or individual refer you to the closet? If so, who?
Please tell us a little bit about why you need to utilize The Care Closet? *
Please list the items you need in this format (each person on a SEPARATE line - Date of Birth, GENDER, items needed) *
Do you have transportation to pick up items? *
How urgent is your request? (we will do our best to accommodate in an efficient timeframe)
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