Holiday Gift Recipient(s)
The following child/children would like to receive a special gift from The Mayor on Saturday, December 5th.
Sign in to Google to save your progress. Learn more
Number of children in home: *
Street Address in Beacon, NY (child MUST reside in Beacon, NY) *
Contact name: *
Contact email: *
Contact phone: *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy