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 Name
Last Name
School Name:
*
Student Phone:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student Email:
example@example.com
Your Request:
Send Mr. T a private message
Request personal hygiene items
Select the item(s) requested: Choose up to 5 immediate items.
*
Deodorant/Antiperspirant
A Hair Cut
Shampoo & Conditioner
Body Wash/Soap
Toothpaste & Toothbrush
Face Wash/Cleansers
Shaving Cream & Razors
Hair Gel, Mousse, or Wax
Towel & Washcloth
Lip Balm
Hand Sanitizer
Nail Clippers
Foot Powder/Spray
Facial Tissue
Perfume/Body Spray
Acne Treatment Products
Facial Moisturizer
Cotton Swabs
Shower Cap
Mouthwash
Dental Floss
Bath Sponge/Loofah
Sunscreen
Beard Trimmer
Hairbrush/Comb
Hair Dye (if applicable)
Deodorant Wipes
Cotton Pads
Aftershave
Razor Blades
Body Scrub
Dear Mr. T,
Submit
Should be Empty: