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  • Community Coalition for Christ

    Christmas Registration Form
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  • Important Notice

          In order to apply for Christmas assistance, you must be the Custodial, Parent, or Legal Guardian for each child on your application. Relationships will be verified via electronic means. If you apply for children that do not meet this requirement, your application may be delayed while we research and could result in disqualification. Please acknowledge that you have read and understand this requirement by selecting below.

  • Child #1

    Please only provide information for the child that you name below. There will be one form per child to fill out. Follow the instructions as you answer the questions. Thanks


  • Please make sure you have entered all the information for your child above. Then press NEXT.  

  • Child #2

    Please only provide information for the child that you name below. There will be one form per child to fill out. Follow the instructions as you answer the questions. Thanks


  • Please make sure you have entered all the information for your child above. Then press NEXT.  

  • Child #3

    Please only provide information for the child that you name below. There will be one form per child to fill out. Follow the instructions as you answer the questions. Thanks


  • Please make sure you have entered all the information for your child above. Then press NEXT.  

  • Child #4

    Please only provide information for the child that you name below. There will be one form per child to fill out. Follow the instructions as you answer the questions. Thanks


  • Please make sure you have entered all the information for your child above. Then press NEXT.  

  • Child #5

    Please only provide information for the child that you name below. There will be one form per child to fill out. Follow the instructions as you answer the questions. Thanks


  • Please make sure you have entered all the information for your child above. Then press NEXT.  

  • Child #6

    Please only provide information for the child that you name below. There will be one form per child to fill out. Follow the instructions as you answer the questions. Thanks


  • Please make sure you have entered all the information for your child above. Then press NEXT.  

  • Child #7

    Please only provide information for the child that you name below. There will be one form per child to fill out. Follow the instructions as you answer the questions. Thanks


  • Please make sure you have entered all the information for your child above. Then press NEXT.  

  • Child #8

    Please only provide information for the child that you name below. There will be one form per child to fill out. Follow the instructions as you answer the questions. Thanks


  • Please make sure you have entered all the information for your child above. Then press NEXT.  

  • Child #9

    Please only provide information for the child that you name below. There will be one form per child to fill out. Follow the instructions as you answer the questions. Thanks


  • Please make sure you have entered all the information for your child above. Then press NEXT.  

  • Child #10

    Please only provide information for the child that you name below. There will be one form per child to fill out. Follow the instructions as you answer the questions. Thanks


  • Please make sure you have entered all the information for your child above. Then press NEXT.  

  • Child #11

    Please only provide information for the child that you name below. There will be one form per child to fill out. Follow the instructions as you answer the questions. Thanks


  • Please make sure you have entered all the information for your child above. Then press NEXT.  

  • Child #12

    Please only provide information for the child that you name below. There will be one form per child to fill out. Follow the instructions as you answer the questions. Thanks


  • If you still haven't gotten us all your children's information please continue and submit the information you have at this time.  

    Please contact us at communitycoalition4christ@gmail.com for questions or help with additional Children.  Thanks

  • THANK YOU FOR REGISTERING

    May God bless in this holiday season

  • PLEASE make sure that you have entered your kid(s) information correctly so that we can better serve your family.  Click BACK if you need to look over your information again.  If you have entered all your information correctly then please click SUBMIT and you should recieve a email from JotForm to confirm your submission.

    We would like to thank you for allowing us to share the love that Jesus shared with us many years ago.  Most importantly know that God loves you and sent His son Jesus to die on the cross for you to have eternal life with Him in heaven, if you would decide to confess with your mouth and believe in your heart that He is your Lord and Savior.  This comes from repentance of your sins and allowing God to transform your old life to a new life in Him.  Thank you again. 

    Love of Christ

    Community Coalition for Christ

  • THANKSGIVING ASSISTANCE IS CLOSED

  • We applogize but our deadline is passed for you to be able to recieve assistance for the Thanksgiving Meal.  Thank you for reaching out and we pray you have a blessed holidays.  

    We would like to thank you for allowing us to share the love that Jesus shared with us many years ago.  Most importantly know that God loves you and sent His son Jesus to die on the cross for you to have eternal life with Him in heaven, if you would decide to confess with your mouth and believe in your heart that He is your Lord and Savior.  This comes from repentance of your sins and allowing God to transform your old life to a new life in Him.  Thank you again. 

    Love of Christ

    Community Coalition for Christ

  • Sorry we couldn't assist you at this time

    Please email us if you have questions about this submission.

  • We would like to thank you for allowing us to share the love that Jesus shared with us many years ago.  Most importantly know that God loves you and sent His son Jesus to die on the cross for you to have eternal life with Him in heaven, if you would decide to confess with your mouth and believe in your heart that He is your Lord and Savior.  This comes from repentance of your sins and allowing God to transform your old life to a new life in Him.  Thank you again. 

    Love of Christ

    Community Coalition for Christ

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