Fall/Winter Clothing Request Form FOR BABIES/TODDLER/YOUTHPlease complete a form for EACH CLIENT. Agency Name * Contact Person Name * First Name Last Name State * Iowa Illinois Phone * (###) ### #### Email * Clothing Request Youth's Age Youth's Top Size Newborn (0-3 Months) 0-3M 3-6M 6-12M 12-18M 2T 3T 4T XS (4-5 Years) S (6-7 Years) M (8-10 Years) L (10-12 Years) XL (12-14 Years) Youth's Bottom Size Newborn (0-3 Months) 0-3M 3-6M 6-12M 12-18M 2T 3T 4T XS (4-5 Years) S (6-7 Years) M (8-10 Years) L (10-12 Years) XL (12-14 Years) Youth's Underwear Size 2T 3T 4T XS S M L XL Youth's Shoe Size 1 Baby/Toddler 2 Baby/Toddler 3 Baby/Toddler 4 Baby/Toddler 5 Baby/Toddler 6 Toddler 7 Toddler 8 Toddler/Kids 9 Toddler/Kids 10 Toddler/Kids 11 Toddler/Kids 12 Toddler/Kids 13 Toddler/Kids 1 Youth 2 Youth 3 Youth Additional Shopping Needs: Please let us know if there is anything else you need. Will you be completing a request form for another family member? Yes No If yes, please provide a group name for the order: Thank you for your request! Orders will be filled within a week of the date the form is received. We will contact you when it is ready for pick up.Items can be picked up on Wednesday or Saturday from 10-12.
