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Holiday Assistance Form
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Holiday Assistance Form
Holiday Assistance Form
Sign up for Holidays Meals (1 Thanksgiving & 1 Christmas)
First Name
*
Last Name
*
Preferred Language
English
Spanish
Other
Please let us know what your preferred language is:
*
Street Address
*
City
*
ZIP/Postal Code
*
Phone Number
*
Email
*
Support Request
I would like to receive a Thanksgiving and Christmas Meal Box.
I would like my children sponsored for Christmas (enter child info below)
Child Info
Child First Name
Child Last Name
Gender
Male
Female
Child DOB
Month
Day
Year
Child Current Grade
Child School
Second Child Info
Child First Name
Child Last Name
Gender
Male
Female
Child DOB
Month
Day
Year
Child Current Grade
Child School
Third Child Info
Child First Name
Child Last Name
Gender
Male
Female
Child DOB
Month
Day
Year
Child Current Grade
Child School
Fourth Child Info
Child First Name
Child Last Name
Gender
Male
Female
Child DOB
Month
Day
Year
Child Current Grade
Child School
Fifth Child Info
(If you have more than 5 children please submit another form)
Child First Name
Child Last Name
Gender
Male
Female
Child DOB
Month
Day
Year
Child Current Grade
Child School
Consent
*
Acknowledgement: By submitting this form, you understand that you are requesting a donation for the 2024 holiday program. You understand that this is a request and not a guarantee of service. Holiday donations will be distributed as supplies last. You agree that we may text you to remind you of the event or any possible updates. You further understand that failure to pick up your requested donation, without emailing or calling, will prevent you from receiving any holiday support the future. You also understand that sponsorships are every other year for a four-time maximum.
I agree.
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