JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Holiday Smiles Nominations :)
Use this form to nominate a child from a low-income family to receive a holiday gift through CCHA Family Support Program's holiday gift program. This form is anonymous and confidential.
Please fill out a separate form for each child.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of Parent/Guardian
*
Your answer
Parent / Guardian Contact Info (Please provide if possible).
Your answer
Name of Child
*
Your answer
Age of Child (can be approximate)
*
Your answer
Gender of Child
Your answer
Gift suggestions, links to requests, child's interests, favourite colours, favourite animals, gift card ideas, other ideas... Feel free suggest/request practical items to free up parents to purchase the more fun gifts.
*
Your answer
Anything else you would like to mention?
*
Your answer
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
Forms
