Shoe Buddy Application

Shoe Buddy Application
The Shoe Buddy Program (SBP) was created for children needing new shoes and is funded by generous donors. Without the participation of these donors, this program would not exist. Please do not have expectations beyond the mission of this program.

The number of vouchers are determined by the amount of donations received from these generous donors, therefore, Waxahachie CARE Services determines which applicants within our organization will receive a voucher.

Determination of vouchers are as follows:

Applications will be put in a drawing.

In order to be considered for the SBP, you must be a current neighbor at Waxahachie CARE, this application must be filled out in it's entirety and signed legibly. All documents must be turned in at time of application submission or this application will become void, NO EXCEPTIONS. You may submit up to 5 of your own children per submission; each child will need to be entered in a separate field.

Documents and Requirements:

1. Waxahachie CARE Services CURRENT Neighbors ONLY

2. All documents must be current with Waxahachie CARE Services

3. Parent Driver License or Photo ID

4. Child's Birth Certificate. Parent and Child must match

5. Proof of Ellis County Resident

Please read and acknowledge your understanding of the criteria and expectations set by the Shoe Buddy Program, Waxahachie CARE Services and Famous Footwear.
Acknowledgement

I understand this program is for children from First grade to Fifth grade. I understand not all applicants will receive a voucher. If you have more than one child, all children in the same household might NOT receive a voucher. I understand if my child is issued a voucher, I am expected to bring my child to Famous Footwear, Waxahachie on the designated day and time. If I miss my time slot, my child might not receive a pair of shoes. I understand ONE voucher is for ONE pair of shoes ONLY. All other items will be at my expense. I understand the mission of the Shoe Buddy Program and will abide by their rules. I understand that Waxahachie CARE Services does not have enough vouchers for all applicants. I will be respectful to all persons at Famous Footwear, the Shoe Buddy Program and Waxahachie CARE Services. I will abide by the rules and expectations of the Shoe Buddy Program, Waxahachie CARE Services and Famous Footwear. I understand that if I choose to disregard any of the rules outlined on this application, I could potentially loose future opportunities to participate in the Shoe Buddy Program. I understand how applicants are chosen to receive a voucher and understand that all my children may not receive a voucher.
Parent 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.
Email
example@example.com
Child #1 Name

First Name Last Name
Child's Gender

Female Male
Child's Age
Child #2 Name

First Name Last Name
Child's Gender

Female Male
Child's Age
Child #3 Name

First Name Last Name
Child's Gender

Female Male
Child's Age
Child #4 Name

First Name Last Name
Child's Gender

Female Male
Child's Age
Child #5 Name

First Name Last Name
Child's Gender

Female Male
Child's Age
Have you participated in the Shoe Buddy Program in the past?

Yes No
If yes, what organization issued the Shoe Buddy Voucher?
How many times have you participated in the Shoe Buddy Program?
Number
Give a short paragraph of why your child should be entered into the Shoe Buddy Program drawing.
Give a short paragraph of why your child should be entered into the Shoe Buddy Program drawing.
Signature

Clear
Parent Driver License or Photo ID

Cancel of
Child's Birth Certificate

Cancel of
Proof of Ellis County Resident

Cancel of
Should be Empty: