Contact

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Contact via Phone or Facsimile

Call (714) 554-0357
Fax (714) 265-0640

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P.O. Box 2737, Garden Grove, CA 92842

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Open Monday - Friday from 9 AM - 5 PM PST

Closed on Sunday and Saturday

Email Us

Feel free to contact us via the form below or email us directly at info@thomashouseshelter.org.

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Comments(Required)

Please let us know what's on your mind. Have a question for us? Ask away.

Referrals

Have a person or organization that you would like to refer to us?

Request Referral

Referrals

Know an individual or family that you would like to refer to us?

Request Referral

Q

Referral Form

1About Adult(s)

2About Child(ren)

3Tell Us A Bit More

About Adult(s)

Please insert information about the adult(s) whom are in need.

1st Adult Name(Required)

Prefix First Name Last Name

1st Adult Age(Required)

Please enter a number from 18 to 120.

1st Adult Phone(Required)

2nd Adult Name

Prefix First Name Last Name

2nd Adult Age(Required)

Please enter a number from 18 to 120.

2nd Adult Phone

3rd Adult Name

Prefix First Name Last Name

3rd Adult Age(Required)

Please enter a number from 18 to 120.

3rd Adult Phone

About Children

Please insert information about the child(ren) whom are in need.

Are there children in the custody of the adult(s) your are referring?(Required)

Yes

No

Insert up to 6 children

1st Child Name(Required)

First Name Last Name

1st Child Age(Required)