General Referral — Love Bexley

General Referral

We distribute Child and Baby items such as clothes, shoes, highchairs, nappies and other essential items to families in need living in the London Borough of Bexley. Most of our items are donated by local parents and Families.

WE DO NOT ACCEPT SELF REFERRALS

Your Name

First Name

Last Name

Position and Organisation

Email (work)

Phone (Work)

Name of Parent/Family for Referral

Contact Phone Number of Family referred

Number of Children (under 18)

Children's Clothes Needed? (Subject to availability)

FOR EACH CHILD PLEASE STATE SEX / SIZE OF CLOTHES AND TYPE NEEDED

Shoes (subject to availability)

FOR EACH CHILD PLEASE STATE SEX / SIZE AND TYPE

Any Toys Needed? (Subject to availability)

PLEASE STATE SEX / AGE AND TYPE OF TOYS REQUIRED

Any other baby / child items needed? (Subject to availability)

Why Does the Family Need the items?

Where do the Items Need to be Delivered?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is there any risk around the family or any other information we should know?

Anti-Spam - 4+4=?

I confirm that the recipient is happy for their contact details to be passed to Love Bexley:

All information submitted is kept confidentially and will not be disclosed to anyone outside of Love Bexley without permission