Contact information
Howdy! Please fill this form out entirely, thanks! 

Care Packages are currently only available to 18+ in the continental United States. However, parents & legal guardians (including case managers) may request a care package on behalf of someone under 18.

Include as much contact info that you can b/c we may need to get in contact with you! Filling out this form does not guarantee you will receive a care package, we send them out as our resources allow. 

Email *
Are you 18 years of age or older AND do you live in the continental United States?
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Name *
Mailing Address (include legal name if necessary to receive mail, make sure its safe for you to receive mail from us and ask permission if mailing to a university GSA or a friend etc) *
Are you able to pick up your care package at one of our in-person events in the Orlando, FL area?  *
Phone number *
Did you join our Discord?  *
Other contact (social media links, KIK, etc) *
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