Christmas Wish & Need List

Helping Other People Everytime

Tell us about your household's Christmas wishes and most important needs. Please include clothing sizes and interests. Requests are not guaranteed.

1. Family Contact

Applicant / parent or guardian name *

Phone *

# Adults

# Children

# Infants

2. Sizes, Interests & Wishes

Add one entry for each person. First name or initials are fine.

3. Household Wants / Needs

4. Family Wants / Needs

Please describe your most important needs and wishes

Additional wishes, interests, or helpful details

I understand this is a request and assistance depends on donations and available resources. *