We are hosting our 4th Annual Christmas Connect Fest on December 19 for all of our clients who are in need. Are you in need of a Christmas miracle? Do you have children 16 and under?

Please complete the form to be considered for toy and gift donation.

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Cell Phone Number

Do you have financial limitations to providing the children in your care with a great Christmas?

Yes

No

Number of Children 17 & Under

(Child Number 1) Name, Age, Gender, and Clothing & Shoe Size

(Child Number 2) Name, Age, Gender, and Clothing & Shoe Size

(Child Number 3) Name, Age, Gender, and Clothing & Shoe Size

(Child Number 4) Name, Age, Gender, and Clothing & Shoe Size

(Child Number 5) Name, Age, Gender, and Clothing & Shoe Size

(Child Number 6) Name, Age, Gender, and Clothing & Shoe Size

By submitting this form, you are stating that your family is in need of assistance. In order to receive gifts, your family must attend our Christmas Connect Fest on Saturday, December 21.

Yes

No

Christmas Connect Fest
Family Registration

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Christmas Connect Fest Family Registration

Subscribe to our Newsletter

Christmas Connect Fest
Family Registration