An advocate – for example, a social worker, teacher, or healthcare worker – must complete the following form. If you need assistance finding an advocate or social service agency, call the United Way at 2-1-1 or visit the 2-1-1 website. Sleepyhead Beds will supply beds for adults in the home, but there MUST be a child in the home to qualify.

  • Advocate Information

  • Recipient Information

  • Please enter a number from 0 to 100.

  • We use email, text messaging, and phone calls to coordinate with bed recipients. Please make sure each communication method is accurate and monitored.
  • Bed Requests

  • Please provide details about each person in the household who needs a bed. All fields are required.
    Use the + button to add bed requests for the family.
    AgeGenderEthnicityBed Type 
  • When requesting bed types, please keep in mind that twin beds are our most in-demand item. If you have room for a larger bed or would prefer a full or queen bed please select that option.
  • This field is for validation purposes and should be left unchanged.