Request Form

Request Form

Use this form to request immediate person hygiene items that you are in need of. Give us 72 hours to respond.
Name:*

First NameLast Name
School Name:*
Student Phone:*
Please enter a valid phone number.
Student Email:
example@example.com
Your Request:

Send Mr. T a private messageRequest personal hygiene items
Select the item(s) requested: Choose up to 5 immediate items.*

Deodorant/AntiperspirantA Hair CutShampoo & ConditionerBody Wash/SoapToothpaste & ToothbrushFace Wash/CleansersShaving Cream & RazorsHair Gel, Mousse, or WaxTowel & WashclothLip BalmHand SanitizerNail ClippersFoot Powder/SprayFacial TissuePerfume/Body SprayAcne Treatment ProductsFacial MoisturizerCotton SwabsShower CapMouthwashDental FlossBath Sponge/LoofahSunscreenBeard TrimmerHairbrush/CombHair Dye (if applicable)Deodorant WipesCotton PadsAftershaveRazor BladesBody Scrub
Dear Mr. T,
Should be Empty: