Thank you for helping a Lincoln County Family this holiday season!
Please fill out the form below.  Healthy Kids will assign you to a family or families according to your preferences.  We will also be giving you information on the children's interests to help you.  All gifts will need to be brought unwrapped, to Healthy Kids office, 15 Belvedere Rd. Damariscotta, by Friday, December 15th.  
Sign in to Google to save your progress. Learn more
Name *
Email *
Phone number *
Number of children you would like to support *
Required
What ages of children would you like to support? *
Required
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