Christmas Resource Form

Please complete this form to receive your Christmas Gifts.

Parent First Name

Parent Last Name

Email

Full Address (Street address, Street name, Apt#, City and Zip Code)

1 or 2 parent home? Please list one wish list item per parent in household

List 3 items needed for the home

Would you like to request general househod necessities?

Phone

Please choose pick up or delivery

Are you in Livingston or Shiawassee County?

Facebook Name

How Many Kids Under 18?

Child One: Pls provide the following: Age, Gender, Favorite color, Shoe Size, Underwear Size, Clothes Size and 5 wish items and share what additional interests your child has

Child Two: provide the following: Pls provide the followig: Age, Gender, Favorite color, Shoe Size, Underwear Size, Clothes Size and 5 wish items and share what additional interests your child has

Pick Up

Delivery

Is there anything you can add about your address that could help with delivery?

Please note once you make your selection for pick up or delivery, it cannot be changed. Delivery is based on availability and cannot be guaranteed.

Other Children: provide the following: Pls provide the followig: Age, Gender, Favorite color, Shoe Size, Underwear Size, Clothes Size and 5 wish items and share what additional interests your child has

Thank you!
As soon as we find a sponsor, we will be in touch via email.