Order Form

We kindly ask that you ensure you know all specific details to fill this form out on behalf of your client. Please note we may not be able to fulfil all items requested but will try our best.

Your Details

(example : 021xxxxxxx | 025xxxxxx | 027xxxxxx | 029xxxxxx)

Client Details

Asylum Seeker
Family reunification
Family violence
Financial hardship
Foster care
Job loss
Kinship care
Mental health
Natural disaster
Physical health
Single parent
Young mother
Young parent

Order Details

If formula has been requested - please state brand and stage needed.


Thank you for completing this application on behalf of your client.


Please bear with us while we work on completing this. Please note we may not be able to fulfil everything requested but we will try our best.


We have specific procedures that need to be followed for our warehouse team to work efficiently. This means when you submit an application, you will get a confirmation of what you have submitted via order form. This needs to be kept and printed or saved via phone, to be shown as confirmation when picked up. You also need to be aware that whoever submits the application on behalf of your client or a colleague needs to pick it up on behalf of the client, not the client themselves.


Please note: When the application is ready to be picked up you need to email me back with a time slot given to pick up with your confirmation, otherwise we will not be able to provide you with your items on that day.


If you have any questions or queries, please contact us via email, info@nurturingfamilies.nz