2 Ways To Refer

  • Print Referral Form send via email, fax or upload document

  • Complete Online Referral Form below

Upload Referral Form

Online Referral Form

Kenzie's CLOSET 2020 Prom Referral Form

Each student receives a dress, shoes, wrap, purse, and 2 pieces of jewelry at no cost. Student must be a High School Junior or Senior with financial need.  (Please see the Prom Rules for more information).

School Personnel or Social Worker:

  1. Refer only students who are unable to attend prom without our assistance.

  2. Both pages of the form must be completed.  Please print legibly.   

  3. Send this form from school fax to 513-533-0019, email to info@kenziescloset.org or complete the online registration form at www.kenziescloset.org.

  4. After approval, Kenzie’s CLOSET will:

    1.  Email a response to you and student (if email given) to confirm a shopping date. If email is not received in five business days contact us at 513-533-7766.

    2. A second email will be sent with an attachment titled “Appointment Reminder Form”. The form must be presented on paper or viewed on a cellular device on the student's shopping day. 

Student:

  1. Please bring:

    1. A photo ID (school ID, Driver’s license, bus pass, etc.).  NO ID: NO DRESS!

    2.  “Appointment Reminder Form” (either printed or viewable on a phone).  

  2. Arrive between the hours of 3-4:30 pm during our traditional after school shopping dates. Our last girl is admitted at 4:30 pm. For the remaining dates, you will be notified by email for arrival times.

  3. If you can’t make it to your appointment, contact us more than 24 hours before your appointment at 513-533-7766 or email at info@kenziescloset.org . Appointments are rescheduled at our discretion.

  4. If you don’t show up for your appointment, you will not be rescheduled.

  5. Because of space limitations, students may bring ONLY ONE ADULT into the building. Student shoppers under 18 must be accompanied by an adult.

  6. Your accompanying adult will wait for you in our lobby area; they will not be permitted to enter the shopping area. You will be paired with a personal shopper who will assist you.

  7. No children under the age of 13 are permitted in Kenzie’s CLOSET.

  8. No cell phones in the boutique shopping area.

  9. Parking is available in a pay parking lot behind our building, or on the street with parking meters.

 

   Kenzie’s CLOSET reserves the right to refuse services to anyone not abiding by the rules*.

 I have read, understand, and agree to the rules and procedures as outlined above.

TO BE COMPLETED BY SCHOOL PERSONNEL OR ADMINISTRATOR
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To the best of my best knowledge, this student would be excluded from prom without assistance

TO BE COMPLETED BY STUDENT 

Your accompanying adult will wait for you in our lobby area and is not permitted into the shopping area. You are paired with a personal shopper for your shopping experience.

  (Your “Appointment Reminder” Form will be emailed to you one week before your scheduled appointment  for further instructions)

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TO BE COMPLETED BY PARENT (OR STUDENT IF 18 YEARS OR OLDER)

PHOTO CONSENT RELEASE

Kenzie's CLOSET to photograph, videotape and use my image for any purposes in social media and/or printed material.

DIRECTIONS: We are located at 2010 Madison Road, Cincinnati, Ohio, 45208 in O’Bryonville. We share the same building as Dennis Buttelwerth Florist  and Lily Pad Preschool (street level).  Look for our logo flag and enter thru the double doors down to the lower level. Our location is conveniently located on Bus Routes 11 and 24. Detailed directions will be on your “Appointment Reminder” Form.

Kenzie's CLOSET 2010 Madison Road, Lower Level - Cincinnati OH 45208

513.533.7766 PH  513.533.0019 FX  www.kenziescloset.org  info@kenziescloset.org

Fed ID# 20-5533270

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