2025 Clothing Request Form – Butterfly Closet

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Butterfly Closet – 2025 Clothing Request Form

Supporting Children in Need with Dignity and Love

If you are caring for a child in need of clothing, please fill out this form. We’ll do our best to provide essentials that are clean, comfortable, and appropriate for the season.
We only ask for the child’s first name to protect their privacy. All information will be kept confidential and used solely to fulfill the request.

Child's First Name

Child's Age

Gender:

Girl Boy Prefer Not To Answer

Clothing Size :
Infant

0-6m 6-12m 12-18m 18-24m

Todler

2T 3T 4T 5T

kIDS

S 6-8 years M 8-10 years L 10-12 years XL 12-14 years XXL 14-16years

Adult

XS S M L XL XXL 3XL

Shoe Size (if needed):

What items does the child need right now? (Please check all that apply)

Everyday clothing School clothes Warm jacket/coat Pajamas Shoes Underwear (new only) Socks (new only)

Season you’re requesting for:

Winter Spring Summer Fall

Is this an urgent or emergency situation?

Yes No

Your Name
(Parent/Guardian or Caseworker):

Your Relationship to the Child:

Email:

Phone:

Organization or Program Name
(if applicable):

Anything else we should know (special sizes, needs, etc.)?

🦋 Once we receive your form, we’ll reach out to confirm the request and arrange
pickup or delivery options.
Thank you for trusting us. We’re honored to walk beside you in helping a child
feel cared for, seen, and supported.

Butterfly Closet

322 Ellis Street

New Britain CT 06051

info@akhopefoundation.org

(914) 441-6062

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First name

Last name

Message