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Submit a Referral

Welcome to the TKC Referral System!
Notice: Teen & Kid Closet's North (Mead) location is moving! It will be closed until further notice while we settle into our new space. Until then, all referrals should go through the Downtown location. Thank you!

Teen & Kid Closet Location

Location

Referring Party Information

First Name
Last Name
Email
Phone Number
Referring Agency Name

Guardian/Contact Person

First Name
Last Name
Email
Phone Number
Street
Street 2
City
State
Zip Code
Primary Language
Additional Notes

By submitting this form, the referrer acknowledges that the referral has consented to Teen & Kid Closet collecting and storing this information. Teen & Kid Closet will use this information solely for the purpose of providing services to the referred child/youth and will not share it with any third parties. In addition, the referrer acknowledges that the referral has consented to Teen & Kid closet sending communications concerning the scheduling of appointments to shop at a physical Teen & Kid Closet location. View more information about collecting verbal consent here.