Community Christmas Angel Waitlist Registration Form 2024
Fill out the form carefully for registration. Please be advised that proof of eligibility is required. On the day of your shopping appointment, you will be required to show a birth certificate OR social security card for each child you claim. Please be advised that the general registration is full and this form will serve as our waitlist. You will be emailed with instructions late November. Thanks!
Eligibility Requirements
The child must reside in Washington. The family with whom the child resides must live in Washington state. The family's income must be at or below 60% of the State Median Income (SMI) at the time of application.
Do you meet the income requirements?
Yes
No
If no, please explain why you are requesting assistance.
Household Information
Are you a KCR Employee?
*
YES
NO
Parent or Guardian Name
*
First Name
Last Name
Family Phone Number
*
Please enter a valid phone number.
Family Email
*
example@example.com
What shopping method would you prefer:
*
Family Shops: The Family comes to the Santa shop and shops for their own gifts
KCR Shops: The family picks up gifts that the KCR employees have selected for them based off their wants and needs
Preferred "Shopping" Days (select as many as possible)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (8:30-12)
Preferred "Shopping" times (select as many as possible)
*
Morning (8-10am)
Mid-Morning (10-12pm)
Afternoon (12-5pm)
Pick up scheduling comments:
Family's primary language
*
English
Spanish
Other
Will you need an interpreter?
*
Yes
No
Children's Information
If household has more than 4 children, please submit another form
Number of children shopping for
*
1
2
3
4
5
6
7
8
1st child's name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Male
Female
Non-binary
Hobbies/interests/favorites/wants
*
Please note: Items wanted shouldn't consistently be large items -- KCR, sponsors, and donors will not be able to provide expensive electronic items. (e.g. Laptop, Air Pods, Nikon Camera, PS5, Xbox, I-phone, Beats, Hoverboards...etc.) **Please do not list gift cards as a wanted item -- these are also unlikely items to be donated.
Are you interested in a bike/skooter in leu of toys?
*
Yes
No
If you selected yes to the bike what size bike does your child need?
*
Please Select
Strider
14"
16"
18"
20"
24"
26"
N/A
Clothing size
*
Please Select
3-6 month
6-9 month
12-18month
24 month
2t
3t
4t
5t
5/6
7
8
10
12
14
16
18
S adult
M adult
L adult
XL adult
2x adult
3x adult
4x adult
Shoe size
*
Please Select
3c
4c
5c
6c
7c
8c
9c
10c
11c
12c
13c
1 youth
2 youth
3 youth
4 youth
5 youth
6 youth
7 youth
5 adult
6 adult
7 adult
8 adult
9 adult
10 adult
11 adult
12 adult
Additional Comments
Do you want to complete a form for a 2nd child?
*
yes
no
2nd Child
2nd child's name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Male
Female
Non-binary
Hobbies/interests/favorites/wants
*
Please note: Items wanted shouldn't consistently be large items -- KCR, sponsors, and donors will not be able to provide expensive electronic items. (e.g. Laptop, Air Pods, Nikon Camera, PS5, Xbox, I-phone, Beats, Hoverboards...etc.) **Please do not list gift cards as a wanted item -- these are also unlikely items to be donated.
Are you interested in a bike/scooter in leu of toys?
*
Yes
No
If you selected yes to the bike what size bike does your child need?
*
Please Select
Strider
14"
16"
18"
20"
24"
26"
N/A
Clothing size
*
Please Select
3-6 month
6-9 month
12-18month
24 month
2t
3t
4t
5t
5/6
7
8
10
12
14
16
18
S adult
M adult
L adult
XL adult
2x adult
3x adult
4x adult
Shoe size
*
Please Select
3c
4c
5c
6c
7c
8c
9c
10c
11c
12c
13c
1 youth
2 youth
3 youth
4 youth
5 youth
6 youth
7 youth
5 adult
6 adult
7 adult
8 adult
9 adult
10 adult
11 adult
12 adult
Additional Comments
Do you want to complete a form for a 3rd child?
*
yes
no
3rd Child
3rd child's name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Male
Female
Non-binary
Hobbies/interests/favorites/wants
*
Please note: Items wanted shouldn't consistently be large items -- KCR, sponsors, and donors will not be able to provide expensive electronic items. (e.g. Laptop, Air Pods, Nikon Camera, PS5, Xbox, I-phone, Beats, Hoverboards...etc.) **Please do not list gift cards as a wanted item -- these are also unlikely items to be donated.
Are you interested in a bike/scooter in leu of toys?
*
Yes
No
If you selected yes to the bike what size bike does your child need?
*
Please Select
Strider
14"
16"
18"
20"
24"
26"
N/A
Clothing size
*
Please Select
3-6 month
6-9 month
12-18month
24 month
2t
3t
4t
5t
5/6
7
8
10
12
14
16
18
S adult
M adult
L adult
XL adult
2x adult
3x adult
4x adult
Shoe size
*
Please Select
3c
4c
5c
6c
7c
8c
9c
10c
11c
12c
13c
1 youth
2 youth
3 youth
4 youth
5 youth
6 youth
7 youth
5 adult
6 adult
7 adult
8 adult
9 adult
10 adult
11 adult
12 adult
Additional Comments
Do you want to complete a form for a 4th child?
*
yes
no
4th Child
4th child's name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Male
Female
Non-binary
Are you interested in a bike/scooter in leu of toys?
*
Yes
No
Hobbies/interests/favorites/wants
*
Please note: Items wanted shouldn't consistently be large items -- KCR, sponsors, and donors will not be able to provide expensive electronic items. (e.g. Laptop, Air Pods, Nikon Camera, PS5, Xbox, I-phone, Beats, Hoverboards...etc.) **Please do not list gift cards as a wanted item -- these are also unlikely items to be donated.
If you selected yes to the bike what size bike does your child need?
*
Please Select
Strider
14"
16"
18"
20"
24"
26"
N/A
Clothing size
*
Please Select
3-6 month
6-9 month
12-18month
24 month
2t
3t
4t
5t
5/6
7
8
10
12
14
16
18
S adult
M adult
L adult
XL adult
2x adult
3x adult
4x adult
Shoe size
*
Please Select
3c
4c
5c
6c
7c
8c
9c
10c
11c
12c
13c
1 youth
2 youth
3 youth
4 youth
5 youth
6 youth
7 youth
5 adult
6 adult
7 adult
8 adult
9 adult
10 adult
11 adult
12 adult
Additional Comments
Submit
Should be Empty: