Canary Nation Boutique Clothing Request Form
The Canary Nation Boutique is available to students and families of the William Allen community at NO cost.  If you need clothing, outerwear, footwear, or accessories please complete this form so we can make arrangements to get you what you need, especially in these winter months.  Requests will be addressed on a first-come, first-served basis.  The Canary Nation Boutique is located at:

William Allen High School
106 N. 17th Street
Allentown, PA 18104
(484) 765-5000

Please complete the form regarding items needed, sizes of those items, and contact information to make the necessary arrangements to get those items to you.  There is space for 2 recipients on this form.  If you have more than 2 people in need of items from the Canary Nation Boutique, please fill out additional forms.  Thank you!
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Email *
Please fill in your student's full name *
Please fill in your student's ID number *
Please fill in your name *
Please fill in your phone number *
Do you prefer Pick Up or Delivery? *
If you prefer to pick up, what is your availability?
If you prefer delivery, what is your address? Items will deliver between 1-3 weeks.
Recipient #1 - please specify age and gender
Recipient #1 - shirt needed (if no shirt needed, please move to next question)
Recipient #1 - Pants type and size needed (if no pants are needed, please move to next question)         EXAMPLE:  khakis - juniors size 9
Recipient #1 - outerwear needed (if no outerwear needed, please move to next question).
Recipient #1 - Winter accessories (if no accessories needed, please move to next question)
Recipient #1 - footwear - please specify type and size (if no footwear is needed, please move to the next question)                                                                     EXAMPLE:  sneakers - men's size 10          
Recipient #2 - please specify age and gender
Recipient #2 - shirt needed (if no shirt needed, please move to next question)
Recipient #2 - Pants type and size needed (if no pants are needed, please move to next question)         EXAMPLE:  khakis - juniors size 9
Recipient #2 - outerwear needed (if no outerwear needed, please move to next question).
Recipient #2 - Winter accessories (if no accessories needed, please move to next question)
Recipient #2 - footwear - please specify type and size (if no footwear needed, please move to next question)                                                                     EXAMPLE:  sneakers - men's size 10          
If there is anything else you may need, please write it below and we can check to see if it is available in the clothing closet.  
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