Kids Loving Kids Registration Form for Christmas Give-Away!
REGISTRATION FOR OUR 2021 GIVE-AWAY IS CLOSED. ANY APPLICATIONS SUBMITTED AFTER NOVEMBER 19TH WILL NOT BE ACCEPTED. THANK YOU FOR YOUR INTEREST IN KIDS LOVING KIDS!
Parent’s Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
How many people are in the household?
Email
example@example.com
1st Child’s Full Name
Gender of Child
Female
Male
Age of Child
Child’s Christmas List/ Interests
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Next
2nd Child’s Full Name
Gender of Child
Female
Male
Age of Child
Child’s Christmas List/ Interests
3rd Child’s Full Name
*IF YOU HAVE MORE THAN 3 CHILDREN, PLEASE FILL OUT A 2ND FORM.
Gender of Child
Female
Male
Age of Child
Child’s Christmas List/ Interests
At what location would you like to pickup the Christmas Items for Your Child?
Jasper
Cullman
Arley
Do you give Kids Loving Kids permission to photograph your child/children during events to use for grants, publicity and other marketing materials.
I give my permission for Kids Loving Kids to photograph my child/children during events to use for grants, publicity and other marketing materials.
Submit
Should be Empty: