Spring/Summer 2024/2025

The Clothesline Appointments

Spring/Summer 2024-2025
Appointment*
Name of Parent*

First NameLast Name

Let us know about your eligible children (grades K-12). Children in preschool are not eligible for services from The Clothesline. If you are shopping for more than 4 children, please make 2 back-to-back appointments. The last appointment of each day is limited to 2 children.*

	Name	Age
Child 1
Child 2
Child 3
Child 4

I will text a photo of one of the following to 571-354-7240 before my appointment or email a copy to contactclotheslinearl@gmail.com*

I have already submitted documentation for the 2024/2025 school yearFree/reduced price lunch letter from 2024/2025 school yearReferral from school social worker or social service providerMy children attend a community eligibility school (Abingdon, Barcroft, Barrett, Campbell, Carlin Springs, Drew, Randolph, Kenmore or Wakefield) and I will text a screenshot of their ParentVue Class Schedule
Phone Number*
Please enter a valid phone number.
Email
example@example.com
All families must update their contact and other information for the 2024/2025 school year. After you submit this form you will receive a reply that includes a link to a Family Intake Form. Please complete the Family Intake Form before your appointment. If you have already submitted the Family Intake Form this school year you do not need to complete it again.
Comments / Questions
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The Clothesline Appointments