Request Form
St Kilda Mums Order Form
Welcome to the online request form for St Kilda Mums. If you are located in rural or regional Victoria please use this link.
If you are not yet registered with us, please register here before completing this form.
Due to the current impact COVID is having on our staff and volunteers we are unable to operate at our regular capacity and have to reduce our service until the end of June, 2022. Please access available brokerage or funding before placing this order.
Until further notice, we are only able to offer two large (waitlisted) items per order - this applies to cots, car restraints and prams. We apologise for any inconvenience while we try and meet the increasing demand in our community on fewer resources.
Please complete one form for each family you are requesting for, unless you are placing an order for bulk stock. In this instance, please add "bulk stock" in the "mother's or primary carers name" field.
For helpful hints on how to complete this form please click here.
For further assistance, please contact the Social Services Team at request@stkildamums.org.
All fields with * are mandatory and must be completed.