Bring Warmth to Your Community

Join us in our mission to distribute coats to those in need.

A diverse group of volunteers, bundled in colorful winter clothing, joyfully holding up new jackets in front of a community center with snow gently falling, representing unity and warmth.

Please fill out the form below to request your coats.

Limited supplies first come first serve.

Full Name *

Date of birth *

Phone *

Email *

Are you also requesting a coat for yourself? *

Yes, I need a coat as well

No, I am only applying for others

Your coat size:

XS

S

M

L

XL

XXL

Do you need additional coats?

Yes, I do

No, just me

How many coats are you requesting in total (including yourself if you are also requesting one)?

1 adult

1 adult + 1 child

1 adult + 2 children

1 adult + 3 children

1 adult + 4 children

2 adults (no children)

2 adults + 1 child

2 adults + 2 children

2 adults + 3 children

Name of 1st adult

DOB of 1st adult

Coat Size of 1st adult

XS

S

M

L

XL

XXL

Name of 2nd adult

DOB of 2nd adult

Coat Size of 2nd adult

XS

S

M

L

XL

XXL

Name of child 1

DOB of child 1

Coat Size of child 1

Infant - Newborn

Infant - 0-3M

Infant - 3-6M

Infant - 6-12M

Infant - 12-18M

Infant - 18-24M

Toddlers - 2T

Toddlers - 3T

Toddlers - 4T

Toddlers - 5T

Kids - XS

Kids - S

Kids - M

Kids - L

Kids - XL

Kids - XXL

Name of child 2

DOB of child 2

Coat Size of child 2

Infant - Newborn

Infant - 0-3M

Infant - 6-12M

Infant - 3-6M

Infant - 12-18M

Infant - 18-24M

Toddlers - 2T

Toddlers - 3T

Toddlers - 4T

Toddlers - 5T

Kids - XS

Kids - S

Kids - M

Kids - L

Kids - XL

Kids - XXL

Name of child 3

DOB of child 3

Coat Size of child 3

Infant - Newborn

Infant - 0-3M

Infant - 3-6M

Infant - 6-12M

Infant - 12-18M

Infant - 18-24M

Toddlers - 2T

Toddlers - 3T

Toddlers - 4T

Toddlers - 5T

Kids - XS

Kids - S

Kids - M

Kids - L

Kids - XL

Kids - XXL

Name of child 4

DOB of child 4

Coat Size of child 4

Infant - Newborn

Infant - 0-3M

Infant - 3-6M

Infant - 6-12M

Infant - 12-18M

Infant - 18-24M

Toddlers - 2T

Toddlers - 3T

Toddlers - 4T

Toddlers - 5T

Kids - XS

Kids - S

Kids - M

Kids - L

Kids - XL

Kids - XXL

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The coat drive will be on December 23rd from 2 pm till 4pm

East Side High School Cafeteria

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