General 1 — Helping Hand Me Downs

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Let’s work together. place an order.

Please fill out form below and we will happily fulfill your request. Orders placed can not be picked up same day! If you don’t have a social worker please contact us directly hhmd0825@gmail.com

PLEASE MAKE SURE YOU HIT SUBMIT SO WE RECIEVE THE ORDER.

Social Worker Name *

First Name

Last Name

Social Worker Email *

Social Worker Phone Number

(###)

###

####

Social Service Agency | School *

Family Last Name *

Pick up Date *

Your bag will be ready for pick up on this date unless we contact you otherwise. Orders have to be picked up by the assigned agency. ORDERS CANNOT BE PICKED UP SAME DAY!

MM

DD

YYYY

Would Mom like a baby essentials bag?

Includes items such as diapers, bibs, bottles and blankets.

Would Mom like a postpartum bag?

Questions, Comments, Concerns

Please do not include child needs in this box, you will have a chance to fill out form below.

Child 1 ONLY *

Please check a gender, and size needed. Along with other items that the child might need.

Boy

GIRL

PREEMIE (CHECK ALONG WITH GENDER)

Child 2 ONLY

Please check a gender, and size needed. Along with other items that the child might need.

Boy

GIRL

PREEMIE (CHECK ALONG WITH GENDER)

Child 3 ONLY

Please check a gender, and size needed. Along with other items that the child might need.

Boy

GIRL

PREEMIE (CHECK ALONG WITH GENDER)

Child 4 ONLY

Please check a gender, and size needed. Along with other items that the child might need.

Boy

GIRL

PREEMIE (CHECK ALONG WITH GENDER)

Child 5 ONLY

Please check a gender, and size needed. Along with other items that the child might need.

Boy

GIRL

PREEMIE (CHECK ALONG WITH GENDER)

Child 6 ONLY

Please check a gender, and size needed. Along with other items that the child might need.

Boy

GIRL

PREEMIE (CHECK ALONG WITH GENDER)

Child 7 ONLY

Please check a gender, and size needed. Along with other items that the child might need.

Boy

GIRL

PREEMIE (CHECK ALONG WITH GENDER)

Child 8 ONLY

Please check a gender, and size needed. Along with other items that the child might need.

Boy

GIRL

PREEMIE (CHECK ALONG WITH GENDER)

Thank you! Your order was received.

Interested in volunteering, needing services, or want to partner with us? Please fill out form below.

Name *

First Name

Last Name

Email *

How can we help you? *

Message

Thank you!