Community Christmas Angel Registration Form 2024

Community Christmas Angel 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.
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?

YesNo
If no, please explain why you are requesting assistance.
Household Information
Are you a KCR Employee?*

YESNO
Parent or Guardian Name*

First NameLast 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 giftsKCR 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)*

MondayTuesdayWednesdayThursdayFridaySaturday (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*

EnglishSpanishOther
Will you need an interpreter?*

YesNo
Children's Information

If household has more than 4 children, please submit another form
Number of children shopping for*

12345678
1st child's name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*

MaleFemaleNon-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?*

YesNo
If you selected yes to the bike what size bike does your child need?*
Clothing size*
Shoe size*
Additional Comments
Do you want to complete a form for a 2nd child?*

yesno
2nd Child
2nd child's name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*

MaleFemaleNon-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?*

YesNo
If you selected yes to the bike what size bike does your child need?*
Clothing size*
Shoe size*
Additional Comments
Do you want to complete a form for a 3rd child?*

yesno
3rd Child
3rd child's name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*

MaleFemaleNon-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?*

YesNo
If you selected yes to the bike what size bike does your child need?*
Clothing size*
Shoe size*
Additional Comments
Do you want to complete a form for a 4th child?*

yesno
4th Child
4th child's name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*

MaleFemaleNon-binary
Are you interested in a bike/scooter in leu of toys?*

YesNo
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?*
Clothing size*
Shoe size*
Additional Comments
Should be Empty:

Community Christmas Angel Registration Form 2024

Eligibility Requirements

Household Information

Children's Information

2nd Child

3rd Child

4th Child