RECEIVE A PLAYHOUSE

Playhouse Request Waitlist

Name

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

What Best Describes You?

Name of Your Organization

Number of Playhouses You'd Like to Request

Please enter a number less than or equal to 10.

Organization Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Please Briefly Describe Your Organization

Preferred Day(s) of the Week

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

What branch of Military does your family currently serve or have served in?

What area does your family serve in?

Name of community or school group

Playhouse Liability Waiver

• Please make sure that your pickup vehicle can accommodate the disassembled playhouse(s), each of which is 4 feet wide, 6 feet long, and 2 feet tall.
• DO bring a pickup, trailer or U-Haul.
• DO NOT bring a minivan or SUV (especially with children in the rear seats) unless the rear hatch has a 4 foot opening measured horizontally (NOT diagonally or vertically). If your vehicle meets these requirements please take the rear seats out before coming to pick up the playhouse.
• Please measure first and allow enough room for everyone to be properly seat-belted in after the playhouse is loaded!
• Please also plan to send photographs or videos of the children receiving or playing in their new playhouse. These photos and videos are greatly appreciated as they are sent to the sponsor of the playhouse and encourage groups to continue to build playhouses for other organizations or individuals. You can see what the playhouses look like by contacting us.
• Playhouses are built for usage by single families. They are susceptible to additional wear if used in public spaces or by multiple children. We recommend checking playhouses often for wear and replacing playhouses as needed. We are happy to provide new playhouses!
• Please note that our playhouses are not meant to be sold at any time and have a value of $0 for the purposes of auctions or fundraisers.

waiver(Required)

I have read and agree to the Playhouse Recipient information above.

waiveracknowledge(Required)

I have read and agree to the Playhouse Liability Waiver

Additional Comments

This field is for validation purposes and should be left unchanged.