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Free Toiletry Registration

Free Toiletry Distribution

Registration & Appointment Request

For unaccompanied minors requesting free hygiene and toiletry support.

No cost: Toiletries are provided free and at no cost to the recipient. Information collected on this form is used to respond to the request, prepare basic toiletry items, and schedule office or off-site distribution. Do not write Social Security number, immigration status, or detailed medical information on this form.

Participant Information

First name Last name

Preferred name Age Gender ZIP code

Contact Information

Telephone Email Preferred language Best time to contact

Please provide at least one safe contact method.

Call Text Email Do not leave voicemail

Adult, Sponsor, Advocate, or Caseworker Contact (if applicable)

Name Relationship/agency Telephone Email

Appointment Request

Preferred distribution location

Gift of Love Foundation office Off-site location Either option

Preferred appointment date(s) Preferred appointment time(s)

Transportation, accessibility, or safety notes

Toiletry Needs

Toothbrush Toothpaste Soap/body wash Shampoo Conditioner Deodorant Comb/brush Wipes Lotion Hygiene items Shaving items Other

Allergies, sensitivities, product preferences, or item notes

I understand that toiletries are free and provided at no cost to the recipient. I agree that Gift of Love Foundation may contact me or the contact person listed above about this request and appointment.

Gift of Love Foundation office hours: Wednesdays and Thursdays, 11 AM-2 PM.

Gift of Love Foundation | 4640 Lipscomb Street, Suite #21, Palm Bay, FL 32905 | (321) 732-4195 | [email protected] | www.giftoflovefoundation.net

Gift of Love Foundation

Phone: (321) 732-4195

© 2025 Gift of Love Foundation. Donations to this organization are tax-deductible.
Privacy Policy

Home
About Us
- What We Do
- Our Team
Get Involved
- Volunteer
- Corporate Sponsorship
Events
- Upcoming Events
- Previous Events
Registration
Registry
- Backpack for A Brighter Future 2026-2027
- Bundles of Care 2026-2027
Contact Us
Donate
Inspiration and Layout
Mentoring

element_settings.Button_59396708.default

element_settings.Button_59396708.default

Support Us

Volunteer

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