Referral Form

Please be aware that this is a referral service – you must be a student and you must complete the referral information.
Referrers may be your teacher, guidance counselor, school nurse, social worker, faith leader, or school administrator.
All approved students will receive an invitation to visit and pick out a dress and accessories, if we have them.
Our supplies are limited by the amount of donations we receive, the time of year and the demand.

Tell us About You:


Referral from:



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