Keeping Kids Warm
- Coat Outreach Program

A Community Resource provided by Rotary Club of Canton South, The Helping Hands Network of Waynesburg and Bridge Point Community Services

Hope Card Number

If you are NOT a current Hope Card holder, you can apply by clicking here.

You must first be approved for Bridge Point's Hope Card Program in order to apply for Keeping Kids Warm.

Parent/Guardian Information:

First Name

Last Name

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

# of Kids in home (ages 0-17)

Child Information:

We will do our best to provide your child with a new winter coat. We only have access to the COAT SIZES listed below. Do NOT request other sizes.

Child 1's First Name

Child 1's Last Name

Child 1's Birthdate

Child 1's Gender

Child 1's Grade

Child 1's School

Child 1's Coat Size

Child 2's First Name

Child 2's Last Name

Child 2's Birthdate

Child 2's Gender

Child 2's Grade

Child 2's School

Child 2's Coat Size

Child 3's First Name

Child 3's Last Name

Child 3's Birthdate

Child 3's Gender

Child 3's Grade

Child 3's School

Child 3's Coat Size

Child 4's First Name

Child 4's Last Name

Child 4's Birthdate

Child 4's Gender

Child 4's Grade

Child 4's School

Child 4's Coat Size

Child 5's First Name

Child 5's Last Name

Child 5's Birthdate

Child 5's Gender

Child 5's Grade

Child 5's School

Child 5's Coat Size

Child 6's First Name

Child 6's Last Name

Child 6's Birthdate

Child 6's Gender

Child 6's Grade

Child 6's School

Child 6's Coat Size

Keeping Kids Warm- Coat Outreach Program

Parent/Guardian Information:

Child Information:We will do our best to provide your child with a new winter coat. We only have access to the COAT SIZES listed below. Do NOT request other sizes.

Keeping Kids Warm
- Coat Outreach Program

Child Information:

We will do our best to provide your child with a new winter coat. We only have access to the COAT SIZES listed below. Do NOT request other sizes.