Christmas Children's Gifts 2022
Application is open to Deaf/Hard of Hearing Parents
or
Parents with a Deaf/Hard of Hearing Child

Guaranteed for ages 0-12 ONLY
NOT Guaranteed for ages 13-17

Most of the support for Holiday Gift Baskets, comes from a toy drive, with no gift options for children between the ages of 13-17. Occasionally we do have supporters who will "adopt" a child, in which case they are able to shop for teens. If you wish for your teen to also be considered, you are welcomed to complete an application for them as well. We will inform you if your child has been adopted, when we send you your pick-up times.
                                                                                                                                                                                                       ***Please also note, once your child is 18, we can no longer provide gifts for them.***
Sign in to Google to save your progress. Learn more
DEADLINE!
In order to receive gifts, applications must be submitted by NOON, on November 23rd!!
Parent Name
Address, City, State, Zip
Phone number
Email
Total Household Income
Total Household Bills
Child Name
Child's Age
Child's Gender
Clear selection
Child's Race
T-Shirt Size
Pant Size
Shoe Size
What are some things your child needs?
What are some things you child wants?
Tell me about your child (interests, likes, favorite colors, activities, special interest, etc), Any information helps, remember, we do not know your child like you do!
Please list any special request
What circumstances has caused you to seek this assistance?
Please list other applications you have filed with other agency for assistance:
"Jesus said to them, 'Go...and make disciples of all nations, baptizing them in the name of the Father, and of the Son, and of the Holy Spirit, teaching them to observe all that I have commanded you...' " Matthew 28:18-20
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
Google Forms