Chrismas Assistance Request Page

Are you requesting assistance for your own family or nominating another family?

Requesting assistance for my own family

Nominating another family

Family Information

Parent/Guardian First name

Parent/Guardian Last name

Address (include city, state, ZIP code

Phone

Preferred Contact Method

Phone

Text

Other

Referral Info

Please provide information for each child in the family. Include their name, age, gender, clothing sizes, interests or favorites, and gift ideas or needs.

Child 1 Full Name

Child 1 - Age

Child 1 - Gender

A Note About Gift Preferences

The information below helps Santa & Mrs. C.'s Kids choose gifts that match each child's interests and needs. While we do our best to honor these suggestions, specific gifts and items cannot be guaranteed.

Child 1 - Interests & Favorites

Child 1 - Gift Ideas or Needs

Child 1 - Shirt Size

Child 1 - Pants Size

Child 1 - Shoe Size

Do you need to add another child?

Yes

Any special circumstances we should be aware of that may help us understand your family's needs?