Annual Toy Distribution Form

26th Annual Holiday Toy Distribution (Walk-Thru) Saturday, Dec. 21, 2024 - 6 PM to 9 PM

*** City of Hollywood Residents ONLY / 100-Entry Limit ***
REQUIRED INFORMATION

CITY OF HOLLYWOOD RESIDENTS ONLY
Restricted to Hollywood Residents Only Due to Shortage of Donations

Picture ID and proof of current address for you and child(ren). Please bring proof to 5199 Pembroke Rd., Hollywood, FL 33023. Parent must be present with the child or children household (Maximum 4)
Contact Email*
example@email-address.com
How many children are you registering today?*
FIRST CHILD

All Information is Required
Parent's or Legal Guardian's Name*

First NameLast Name
Child's Name*

First NameLast Name
Child's Age*
Child's Gender*

FemaleMale
Address*

Street Address

Street Address Line 2

HOLLYWOOD RESIDENTS ONLY
Hollywood Zip Codes ONLY*
HOLLYWOOD RESIDENTS ONLY
SECOND CHILD

All Information is Required
Parent's or Legal Guardian's Name*

First NameLast Name
Child's Name*

First NameLast Name
Child's Age*
Child's Gender*

FemaleMale
Address*

Street Address

Street Address Line 2

HOLLYWOOD RESIDENTS ONLY
Hollywood Zip Codes ONLY*
HOLLYWOOD RESIDENTS ONLY
THIRD CHILD

All Information is Required
Parent's or Legal Guardian's Name*

First NameLast Name
Child's Name*

First NameLast Name
Child's Age*
Child's Gender*

FemaleMale
Address*

Street Address

Street Address Line 2

HOLLYWOOD RESIDENTS ONLY
Hollywood Zip Codes ONLY*
HOLLYWOOD RESIDENTS ONLY
FOURTH CHILD

All Information is Required
Parent's or Legal Guardian's Name*

First NameLast Name
Child's Name*

First NameLast Name
Child's Age*
Child's Gender*

FemaleMale
Address*

Street Address

Street Address Line 2

HOLLYWOOD RESIDENTS ONLY
Hollywood Zip Codes ONLY*
HOLLYWOOD RESIDENTS ONLY
Please download, complete, and sign the EVENT WAIVER & AGREEMENT TO RELEASE FORM. Email to ceccollaboration@gmail.com
Please verify that you are human*
Should be Empty:

26th Annual Holiday Toy Distribution (Walk-Thru) Saturday, Dec. 21, 2024 - 6 PM to 9 PM

REQUIRED INFORMATION

FIRST CHILD

SECOND CHILD

THIRD CHILD

FOURTH CHILD