Restoration Family Center 2024 Toys for Tots Application Vance County

2024 Toys for Tots Pre-Application-Restoration Family Center

Greetings! Restoration Family Center is a Non-Profit agency and we are waiting on our approval as a Tots Distribution Center for 2024 for Vance County. Do not attach any personal information. Please note that Marine Toys for Tots will not begin approving submissions for Non Profits until Nov 16-Nov 25. There is NO guarantee at this time that we will receive toys, but we are collecting names in the event we do. If we receive toys, on the day of pickup you will need a government issued ID and copy of children's birth certificate or medicaid card. We are targeting for a Dec 14th pickup but the pickup date and time will be announced at a later time at 735 E. Rockspring Street Henderson, NC. You may forward this link for others to register. The application period will ended on 11/10/24 at 5pm to ensure all children are successfully registered.
Parent Name*

PrefixFirst NameLast Name
Parent Phone Number*
ex. (999) 999-9999
Parent's E-mail Address*
Parent's Address*

Street Address

Street Address Line 2

CityState

Zip Code
Child(ren) Info (Age 0-13 only)*
Income Eligibility Criteria

(To be eligible for Restoration Family Center Toy's for Tots Program, you must complete the following)
Select which of the following you receive:*

MedicaidFood & Nutrition (EBT)Social Security Disability or SSIRestoration Family Center Member (Eligibility Provided onsite)
*Please Read Carefully

Restoration Family Center is proud to serve as a pick up site for Toys for Tots. Each application is submitted as a request and therefore not guaranteed. All application decisions are granted at the sole discretion of Toys for Tots and its partners. Please bring all required documents on the specified date so that your request is processed in an efficient timeframe. Please fill out all required information so we can keep you updated on your application status. To ensure that all approved applicants are served, a government issued ID is required.

If you have any questions please leave it in the box below.
Comments or Questions:
Electronic Disclosure and Signature Agreement
- I know that any information given to Restoration Family Center will be protected and kept confidential and that the information provided is needed to determine eligibility for the Toys for Tots Program. This information can be checked against electronic databases by Toys for Tots.
- Please do not come for pickup if you are sick.
- By entering your name on the signature line, you are signing this Application electronically. You agree that you will show ID and proof of assistance on the day of pickup. You agree that your electronic signature is the legal equivalent of your manual signature on this Application and is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature. You further agree that your electronic signature grants Restoration Family Center the permission to confirm, where applicable, your income eligibility criteria and/or the residential information entered on this application.
Electronic Signature*
First and Last Name
DateTime
Should be Empty:

2024 Toys for Tots Pre-Application-Restoration Family Center