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Family Form Fill Out Request for Holiday Baskets/ Forma de padre para solicitar canastas festivas
Please fill out form in its entirety to help best fill your basket request.
Favor de llenar la forma completamente para poder solicitar su canasta.
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* Indicates required question
Last name of family/ Apellido de familia
*
Your answer
I agree I will be responsible to pick up basket IF my request is approved/ Estoy de acuerdo que yo soy responsable de recoger la canasta SI mi aplicación es aprobada
*
Si/Yes
No
I agree that nothing is confirmed and guaranteed about receiving a box/ Estoy de acuerdo de que nada es confirmado de que recibiré una canasta
Si/Yes
Other:
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Number of people in your family? Número de personas en su familia?
*
Your answer
Which of the following are you in most need/interested in receiving? / Cual de las siguientes necesitan más o están interesados en recibir
Food Basket (no toys)/ Canasta de comida (no juguetes)
Clothing Basket/Canasta de Ropa
Clear selection
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