Submit a Referral

Welcome to the TKC Referral System!

Our North / Mead location will be re-opening on Thursday, September 24th and we are once again accepting referrals for this location!

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

Phone Type

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.