Welcome
About us
Request Items
Volunteer
Donate
Donate Online
Donate Items
Contact us
Events
Welcome
About us
Donate Online
Donate Items
Request Items
Volunteer
Contact us
(800) 446-0796
Events
This field is hidden when viewing the form
Service
Item Request
This field is hidden when viewing the form
Provider
Vault
Calendar
July 2025
Sun
Mon
Tue
Wed
Thu
Fri
Sat
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
July 17, 2025
11:00 AM
11:30 AM
12:00 PM
July 22, 2025
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
July 24, 2025
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
July 26, 2025
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
July 29, 2025
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
July 31, 2025
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
Caregiver Information
Caregiver Name
*
First
Last
Caregiver Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
County
*
Caregiver Email
*
Please do not use caseworker email address here.
Caregiver Phone
*
Preferred methods of contact (check all that apply)
*
Phone
Text Message
Email
Number of children in the home (include biological, adopted, and foster)
*
Which Program is the caregiver actively participating in?
*
At this time, we are only able to provide items to families who are actively participating in one of the following programs.
Parents As Teachers (PAT)
Active Parenting
Fatherhood Initiative
Texas Family First Pilot
Date Enrolled in Program
*
Point of Contact
Who is requesting these items on behalf of the family?
*
First
Last
Contact Email (person requesting items)
*
Case Worker's Email Address
*
Is the family involved in a local church?
Yes
No
Name of Church
*
Does the family have an open FBSS case or DFPS Investigation?
Yes
No
Children's Information
Child's / Children's information (if known)
*
Please enter information for each child. Clothing and shoe sizes are only necessary if you are requesting clothing or shoes. We only provide clothing for children 0-18yrs, so we do have adult sizes. Click on the "+" symbol to add additional children.
Child First and Last Name
Age
Gender
Race/Ethnicity
Clothing Size
Shoe Size
Items Needed
*
Please list the items that you need. Be as detailed as possible. If clothes/shoes are needed, be sure to write that here.
Pickup Options
*
Families can choose to pick up all items curbside, or come in to shop for personal items like clothing, shoes, and accessories.
Shop for Items
Curbside Pickup
Additional Details
Please provide us with any additional details that will help us complete your request.
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.
Menu