CORGL Coat and Shoes Giveaway

Kids Winter Coat and Shoes Giveaway Registration

Saturday, February 7, 2026 | 10:30AM-1:00PM @ First Church of God
Parent/Guardian/Custodian Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Are you a U.S. Citizen?*

YESNO
Family Household and Income

Using the chart below, determine if the household income is at or below 200% of the 2019 Federal Poverty Level limits. Select the applicable household family size and monthly income that matches the income status for the applicant family.
Number of household members*
Is the family's total income at or below 200% of the Federal Poverty Level based on household size?*

YesNo
Please be aware that the following coat sizes are in stock: 2T, 3, 4, 5, 5/6, 7/8, 10/12, 14/16, and 18.

Also coats and shoes are first-come, first-served with limited numbers in each size.
How many school-aged boys are you requesting items for? *
Sizes needed*
How many school-aged girls are you requesting items for? *
Sizes needed*
Children in Household
Name*

First NameLast Name
Age*
Name

First NameLast Name
Age
Name

First NameLast Name
Age
Name

First NameLast Name
Age
Self Attestation*

I certify to the best of my knowledge, the information included in this application is true, including income and citizenship/qualified non-citizenship information.
Parent/Guardian/Custodian Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Kids Winter Coat and Shoes Giveaway Registration