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PLEASE SUBMIT SEPARATE FORMS FOR EACH CLIENT & COMPLETE THE ENTIRE FORM
SUBMIT NO LATER THAN NOVEMBER 14,2025
Missing details may result in a delay or inability to get gifts for the family.
Holiday Gift Giving Program
Please indicate what you need for your family:
(Required)
Adopt-a-Family. This is for your most needy families All family members in the home receive gifts. Please be specific on clothing sizes etc.
Teen Gift Cards. All teen clients are eligible to receive a $25 Target or Walmart gift card.
Number of Teens in Family
(Required)
Staff Name
(Required)
Email
(Required)
Enter Email
Confirm Email
Work Cell
(Required)
Client Last name
(Required)
Parent’s First Name(s)
(Required)
Parent Gift Ideas (If clothing items, indicate the sizes)
(Required)
Number of Children
(Required)
None
1
2
3
4
5
6
7
First Child’s Name
(Required)
First Child's Age
(Required)
First Child's Gender
(Required)
Male
Female
First Child: Toys, Hobbies, Clothes, Shoes (if clothes and/or shoes, indicate the sizes)
(Required)
Second Child’s Name
(Required)
Second Child's Age
(Required)
Second Child's Gender
(Required)
Male
Female
Second Child: Toys, Hobbies, Clothes, Shoes (if clothes and/or shoes, indicate the sizes)
(Required)
Third Child’s Name
(Required)
Third Child's Age
(Required)
Third Child's Gender
(Required)
Male
Female
Third Child: Toys, Hobbies, Clothes, Shoes (if clothes and/or shoes, indicate the sizes)
(Required)
Fourth Child’s Name
(Required)
Fourth Child's Age
(Required)
Fourth Child's Gender
(Required)
Male
Female
Fourth Child: Toys, Hobbies, Clothes, Shoes (if clothes and/or shoes, indicate the sizes)
(Required)
Fifth Child’s Name
(Required)
Fifth Child's Age
(Required)
Fifth Child's Gender
(Required)
Male
Female
Fifth Child: Toys, Hobbies, Clothes, Shoes (if clothes and/or shoes, indicate the sizes)
(Required)
Sixth Child’s Name
(Required)
Sixth Child's Age
(Required)
Sixth Child's Gender
(Required)
Male
Female
Sixth Child: Toys, Hobbies, Clothes, Shoes (if clothes and/or shoes, indicate the sizes)
(Required)
Seventh Child’s Name
(Required)
Seventh Child's Age
(Required)
Seventh Child's Gender
(Required)
Male
Female
Seventh Child: Toys, Hobbies, Clothes, Shoes (if clothes and/or shoes, indicate the sizes)
(Required)
Additional Notes
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