JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Burial Garment Request
Kennedy's Angel Gowns accepts requests for 'angel gowns' and garments from individuals in Virginia and across the United States. You will be contacted as soon as possible with an update on your request. This service and support is provided at no cost. Visit
kennedysangelgowns.org
for more information.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Gender
*
Boy
Girl
Unknown
Baby Name
Your answer
Weeks
Your answer
Weight
Please provide the lbs. and oz. so we can provide the best fit.
Your answer
Date
*
What is the latest date acceptable to receive the garment?
MM
/
DD
/
YYYY
Delivery Location
Please provide the hospital/location name, address, and room number where a garment can be delivered.
Your answer
Person Requesting
Parent
Family member/ friend
Clear selection
Comment
Your answer
Referral
How did you hear about us?
Online search
Friend
Social media
Hospital
Other:
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kennedy's Angel Gowns.
Report Abuse
Forms
