Christmas Gift Assistance Application

Christmas Gift Assistance Application
NEED ASSISTANCE WITH CHRISTMAS GIFTS FOR YOUR CHILDREN THIS YEAR?

OC Local2Global would like to assist families who attend Otterbein Church and who are struggling financially to purchase Christmas gifts for their children (birth-grade 12). If you are in need of assistance or know a family who is in need of assistance, please complete the Gift Assistance application below. Applications must be submitted by Sunday, December 1. If you have questions, please contact Rick Duesler at rick.duesler@otterbeinchurch.org.
Name of Parent/Person Completing the Application*

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

Street Address

Street Address Line 2

CityState

Zip Code
Are you requesting assistance for your family or recommending another family for assistance?*

I am requesting assistance for my family.I am recommending a family for assistance.
Do you attend Otterbein Church?*

YesNo
What is the parent's name for the family you are recommending for assistance?*

First NameLast Name
Does the family attend Otterbein Church?*
How many children are in the family (Birth-age 18)?*
Name of Child*

First NameLast Name
Age of Child*
Name of Child 2*

First NameLast Name
Age of Child 2*
Name of Child 3*

First NameLast Name
Age of Child 3*
Name of Child 4*

First NameLast Name
Age of Child 4*
Name of Child 5*

First NameLast Name
Age of Child 5*
Name of Child 6*

First NameLast Name
Age of Child 6*
Should be Empty: