Christmas Gift Giveaway Waiting List
We are no longer accepting Thanksgiving Basket Waiting List applications. Please fill out this application if you have children or grandchildren 0-16 and live within 30 miles of Portsmouth, NH
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many total household members
*
Please Select
1
2
3
4
5
6
7
8
9
10
Other
Email
*
example@example.com
Add me to the waiting list for...
*
Please Select
Christmas
CHRISTMAS ONLY (please select one)
Please Select
I have children 0-16
I have grandchildren 0-16
I have both children and grandchildren 0-16
I am the legal guardian to children 0-16
Submit
Should be Empty: