- Clothes For Kids
16725 52nd Ave West
Lynnwood, WA 98037
Phone: 425-741-6500
www.clothesforkids.org
Requisition for Clothing Form 2019-2020
COMPLETE ONE FORM FOR EACH STUDENT, PLEASE! This portion to be completed by Authorized School/Agency Employee – PLEASE PRINT
School: ___________________________ District: _____________________________
Student’s Last Name: _______________________________________
Student’s First Name: _______________________________________
Student’s Zip Code: ______________ Date of Birth ___ / ___ / ______ (mm/dd/yyyy)
Grade: ____ Gender: M / F / X Ethnicity: ______________________________ ...