Please complete the form below to request assistance with Christmas gifts this year. Please note: we ask our sponsors to provide gifts in value between $15 and $30 so please ask for gifts within those price ranges. Deadline to apply is November 5.  

Valid Driver's License    is required to pick up gifts

All required documentation must be submitted with application.  

Please apply if you are truly in need this holiday season.  

We will try to help as many children as possible, we will contact you if your application is approved by November 28. Thank you! 

CHILD 1 INFORMATION:

Child 2 Information

Child 3 Information

Child 4 Information

Applications will be reviewed and we will help as many children as possible based on need and availability of donations. 

**We receive hundreds of applications, if a submitted application is missing information or request gifts outside the price limit, these applications will automatically be moved to our wait list. **