Toy and Gift Request
Cool Charm Center, Inc. 2nd Annual Holiday Giveaway
Child’s Name
*
First Name
Last Name
Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Parent / Guardian
*
Phone Number
*
Address
*
County
*
Fulton
Dekalb
Cobb
E-mail
*
example@example.com
Pick Up Person
*
Phone Number
*
Relationship
*
Please select the item that your child needs the most.
*
Clothes
Shoes
Coat/ Jacket
Undergarments
All of the above
Clothing Size
*
YS
YM
YL
YXL
AS
AM
AL
AXL
A2XL
Shoe Size
*
Coat/ Jacket Size
*
Undergarments
*
Desired Gift
*
Favorite Color
*
Special Requests/ Food Allergies
The youth must reside in Fulton, Dekalb, or Cobb counties in order to receive gifts.I agree to provide proof of age upon registration.
*
I Agree to the terms of this request
Date
*
-
Month
-
Day
Year
Date
Signature
Continue
Continue
Should be Empty: