2024 Holiday Gift Program

The Western Pennsylvania Bleeding Disorders Foundation realizes hardship can strike at any time. We believe every child deserves to experience the joy of gifts in the holiday season. Our Holiday Gift Program is open to members of the Western Pennsylvania Bleeding Disorders Foundation with children ages 0-18 living in their household. This fund will provide one holiday gift (up to $50 value) per child aged 0-18. Applications must be submitted by November 29, 2024. Funds for the Holiday Gift Program are limited and will be granted on a first come, first served basis. This program will end when the funds have been depleted.

Eligibility:

1. The applicant is a member of the Western Pennsylvania Bleeding Disorders Foundation with a bleeding disorder or lives in the same physical household as a person with a bleeding disorder. Family must be fully registered with the WPBDF. If not, the family will be asked to complete a membership form before receiving assistance.

2. The household income has significantly decreased and applicant is struggling to provide holiday gifts this season.

3. Each child aged 0-18, who has a bleeding disorder or is living in the household with the person who has a bleeding disorder, is eligible to receive a gift, up to a $50 value.

4. Applications must be received by November 29, 2024.

Application Process:

1. Submit your application by answering and submitting the following questions by November 29, 2024.

2. A WPBDF staff member will review the application and contact the applicant to confirm information. Staff may also share additional resources that may help the household.

3. When the application is approved, a holiday gift will be mailed directly to the household.

If you have any questions or need assistance filling out this form please call the Western Pennsylvania Bleeding Disorders Foundation at 724-741-6160.

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Email

example@example.com

Preferred method of communication*

Phone CallEmailTextOther

What bleeding disorder does the affected family member have? If the person affected with a bleeding disorder is not the applicant, please include their full name.*

Please explain your need for assistance and the reduction in household income as well as any additional ways the Foundation can be of assistance.*

How many children live in the household (ages 0-18)?*

Gift Information: Please include your child/children's wishlist items below. Please list your child's name, age, and wish list item. Direct links to the items are preferred (Amazon, Walmart, Target). Items must be $50 or less and are limited to one item per child (ages 0-18). We are not able to provide gift cards. Shipping fees are included in the $50 total.