2022 YMCA Bless it Forward Donation Drive Request Form
As a non-profit charitable organization founded on Christian principles our YMCA is proud to serve and support our community with our annual Bless it Forward Holiday Donation Drive.  We have collected Christmas gifts and groceries and want to bless those who could really use a little extra Christmas Cheer this year.  We understand that this year has been exceptionally more difficult for many.  We will make every effort possible to be a blessing to as many individuals and families as donations will allow.  This program, like our YMCA, is open to ALL (However, you must have the ability to come to our facility on E Landis Avenue in Vineland to pick up your gifts/groceries).  

Please fill out the below form.  Provide as much detail as possible.  Each request will be reviewed and if you are selected, you will be contacted by our staff and given the pick up date and time options.

On behalf of our YMCA, we are praying for each of your families and wish you and your family a Safe and Merry Christmas.

Please note this information will remain confidential.  
Email *
Your Name (First Last) *
Phone Number (XXX) XXX-XXXX *
Home Address or current living situation? *
Employment Status *
Household Income *
How many people are in your household? *
Please describe in detail some of the challenges, (personal, financial, or medical) that you are currently facing and why you should be considered for this program.   *
For Yourself and/or your Spouse.  Please provide us with your FULL NAME(S), DATE OF BIRTH(S) / AGE(S), and some ideas on items you may currently need or want?
Child #1.  Please provide us with your child's FULL NAME, DATE OF BIRTH / AGE, and some of their interests, hobbies, and/or size in clothes and shoes.  While we can not guarantee gifts will match your request we will absolutely make every effort to bless them with something that will bring them joy.  
Child #2.  Please provide us with your child's FULL NAME, DATE OF BIRTH / AGE, and some of their interests, hobbies, and/or size in clothes and shoes.  While we can not guarantee gifts will match your request we will absolutely make every effort to bless them with something that will bring them joy.  
Child #3.  Please provide us with your child's FULL NAME, DATE OF BIRTH / AGE, and some of their interests, hobbies, and/or size in clothes and shoes.  While we can not guarantee gifts will match your request we will absolutely make every effort to bless them with something that will bring them joy.  
Child #4.  Please provide us with your child's FULL NAME, DATE OF BIRTH / AGE, and some of their interests, hobbies, and/or size in clothes and shoes.  While we can not guarantee gifts will match your request we will absolutely make every effort to bless them with something that will bring them joy.  
Child #5.  Please provide us with your child's FULL NAME, DATE OF BIRTH / AGE, and some of their interests, hobbies, and/or size in clothes and shoes.  While we can not guarantee gifts will match your request we will absolutely make every effort to bless them with something that will bring them joy.  
Child #6.  Please provide us with your child's FULL NAME, DATE OF BIRTH / AGE, and some of their interests, hobbies, and/or size in clothes and shoes.  While we can not guarantee gifts will match your request we will absolutely make every effort to bless them with something that will bring them joy.  
Child #7.  Please provide us with your child's FULL NAME, DATE OF BIRTH / AGE, and some of their interests, hobbies, and/or size in clothes and shoes.  While we can not guarantee gifts will match your request we will absolutely make every effort to bless them with something that will bring them joy.  
A copy of your responses will be emailed to the address you provided.
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