Christmas Assistance Form
電子郵件 *
Parent/Guardian *
Home Number *
Cell Number *
Work Number
Have you recieved Christams Assistance in the past? *
Will you be receiving assistance from any other source? *
Please explain the reasons why you are requesting assistance. *
Does your child/children need underwear and socks?
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Does your child/children need a coat?
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Child 1 Name *
Child 1 Age *
Child 1 Gender
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Child 1 Shirt Size *
Child 1 Pants Size *
Child 1 Shoe Size *
Gifts Ideas under $25 *
Child 2 Name
Child 2 Age
Child 2 Gender
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Child 2 Shirt Size
Child 2 Pants Size
Child 2 Shoe Size
Child 2 Gifts Ideas Under $25
Child 3 Name
Child 3 Age
Child 3 Gender
清除選取的項目
Child 3 Shirt Size
Child 3 Pants Size
Child 3 Shoe Size
Child 3 Gift Ideas Under $25
Child 4 Name
Child 4 Age
Child 4 Gender
清除選取的項目
Child 4 Shirt Size
Child 4 Pants Size
Child 4 Shoe Size
Child 4 Gift Ideas Under $25
Child 5 Name
Child 5 Age
Child 5 Gender
清除選取的項目
Child 5 Shirt Size
Child 5 Pants Size
Child 5 Shoe Size
Child 5 Gifts Ideas Under $25
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