Toy Express/Power of Play Application

First Responders Children’s Foundation provides financial support to children who have lost a parent in the line of duty as well as families enduring significant financial hardship due to tragic circumstances. First Responders Children’s Foundation also supports, promotes, and facilitates educational activities and programs created and operated by first responder organizations whose purpose is to benefit children or the community at large.

In 2020, First Responders Children’s Foundation’s Toy Express delivered more than 500,000 free toys and masks to first responder agencies and hospitals across the country. These agencies then distribute these holiday gifts to children of first responders and to children in first responder communities. We look forward to spreading even more holiday cheer during Toy Express 2022!

The deadline to apply is November 25th. All applications must be submitted no less than 30 days prior to your event.

Name of organization *

Date

Dropbox

Primary contact name *

First name Last name

Primary contact’s position at organization *

Primary contact email *

example@example.com

Primary contact phone number *

Please enter a valid phone number.

Preferred method of contact *

Phone call Text message Email

Have you previously participated in Toy Express? *

Yes No

Year participated *

2020 2021

Were you (either this year or in the past) referred by a CSX agent? *

Yes No

CSX agent’s name *

First Name Last Name

CSX agent’s email *

example@example.com

Organization/Event shipping address *

Street Address

Street Address Line 2

City State

Zip Code

Who will be the contact receiving the shipment? *

Myself Someone else

Name *

First Name Last Name

Email *

example@example.com

Phone number *

Please enter a valid phone number.

Do you have any of the following loading equipment? *

Loading dock Pallet jack Forklift None of the above

Please describe the loading area at the shipping address, including the dimensions of the driveway/loading area and whether there is space or not for a 26’ and/or a 53’ semi truck. *

Anticipated event name *

Who will be participating in the event? *

Organization employees and their families Children/families in the community

Anticipated event date *

Date

Anticipated event time *

Hour Minutes

AM/PM Option

Is the anticipated event address/location different from the shipping address? *

Yes No

Anticipated event address/location *

Name of Location

Street Address

City State

Zip Code

Please provide an estimate of toys needed based on age ranges. *

1-3 4-6 7-10 11-13 14+

Ages 1-3, amount of toys needed? *

Ages 4-6, amount of toys needed? *

Ages 7-10, amount of toys needed? *

Ages 11-13, amount of toys needed? *

Ages 14+, amount of toys needed? *

Would you like an even mix of toys based on gender? *

Yes No

Please describe your event. *

Please describe the gender mix of toys you’d prefer. *

Do you have any ongoing relationships with media outlets who are expected to attend the event? *

Yes No

List media outlet names/contact *

Completing this form does not guarantee your participation in Toy Express.
The number of participating agencies is based on toy donation amounts from our partners. We
hope to include all interested agencies in Toy Express and will be in touch shortly.