Beds Program

Application Process

1. Complete the Beds Application form available at crkiwanis.com/beds-application/

Required Information

• Parent/Guardian First Name *
• Parent/Guardian Last Name *
• Home Address *
• Parent/Guardian Phone Number *
• Parent/Guardian Email Address *
• Alternate Phone Number (optional)
• Delivery Address *
• Number of Beds Requested * (1, 2, 3, or 4+)
• Number of Children Needing Beds * (1, 2, 3, or 4+)
• Beds per Room * (1, 2, or 3+)
• Ages and Gender of Children *
• Where Do Your Children Currently Sleep? *
• How did you hear about the Bed program sponsored by Kiwanis of the Colorado River? *
• Any Additional Information You Would Like To Share With Us? (optional)

Submission

• Online form submission through website
• Spam prevention question required