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Huntington Christmas Assistance Application
Christmas applications are available in the Elementary Office for Jaycees Christmas Special Santa or
www.chillicothespecialsanta.com
for Ross County children between the ages of 2-10 years old. The deadline to apply for Jaycees assistance is October 9, 2020. Details are on their website. All other ages can be requested below. Please submit one request for each child.
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* Indicates required question
Parent name
*
Your answer
Parent email address
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
Child name (first and last)
*
Your answer
Child Birthdate
*
MM
/
DD
/
YYYY
Child Grade
*
Choose
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Preschool
Child Gender
*
Male
Female
Prefer not to say
Other:
Child shirt size
*
XS Youth 5/6
S Youth 6/7
M Youth 8/10
L Youth 10/12
XL Youth 14/16
XXL Youth 18/20
Other:
Child pant size
*
XS Youth 5/6
S Youth 6/7
M Youth 8/10
L Youth 10/12
XL Youth 14/16
XXL Youth 18/20
Other:
Does your child need a winter coat?
*
Yes
No
Child Shoe Size
*
Your answer
Child gift suggestions (please do not list expensive items such as: laptops, tablets, ipads, play stations, xbox, etc.)
*
Your answer
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