Charlotte's HANDS of HOPE

Charlotte's HANDS of HOPE

Fill out the form carefully and completely to apply for Christmas assistance for your family. We will accept as many families as resources allow. Families that have been approved will be notified by December 1, 2025 through email with a formal invitation to the "Christmas Night of Joy" Party on December 21st from 5pm-7pm. At the event families will be served a Christmas meal, provided with Christmas stockings, holiday activities and enjoy a visit & photos with Santa. That evening the families will be sent home with a box of gifts from the kids wish lists that parent's can give the kids on Christmas morning.
Head of Household

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
MM-DD-YYYY
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:

Confirmation Emailexample@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of people in your home:
Type number
Additional person(s) 18+ living in the home.
First Name:

First NameLast Name
Date of Birth

MonthDayYear
Date
Relationship to you:
Type spouse, partner, parent, child, or other
Second Name:

First NameLast Name
Date of Birth

MonthDayYear
Date
Relationship to you:
Type spouse, partner, parent, child, or other
Third Name:

First NameLast Name
Date of Birth

MonthDayYear
Date
Relationship to you:
Type spouse, partner, parent, child, or other
Children under the age of 18 in the home
First child:

First NameLast Name
Date of Birth

MonthDayYear
Date
Age:
Boy or Girl?
What school does the child attend?
Wish #1:
Type First Wish
Wish #2:
Type Second Wish
Wish #3:
Type Third Wish
Clothing Size (please indicate if it is children's size or adult size):
Shirt & Pant Size
Shoe Size (please indicate if it is children's size or adult size):
2nd Child:

First NameLast Name
Date of Birth

MonthDayYear
Date
Age:
Boy or Girl?
What school does the child attend?
Wish #1:
Wish #2:
Wish #3:
Clothing Size (please indicate if it is children's size or adult size):
Shirt & Pant Size
Shoe Size (please indicate if it is children's size or adult size):
3rd Child:

First NameLast Name
Date of Birth

MonthDayYear
Date
Age:
Boy or Girl?
What school does the child attend?
Wish #1:
Wish #2:
Wish #3:
Clothing Size (please indicate if it is children's size or adult size):
Shoe Size (please indicate if it is children's size or adult size):
4th Child: Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age:
Boy or Girl?
What school does the child attend?
Wish #1:
Wish #2:
Wish #3:
Clothing Size (please indicate if it is children's size or adult size):
Shirt & Pant Size
Shoe Size (please indicate if it is children's size or adult size):
5th Child: Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age:
Boy or Girl?
What school does the child attend?
Wish #1:
Type First Wish
Wish #2:
Type Second Wish
Wish #3:
Type Third Wish
Clothing Size (please indicate if it is children's size or adult size):
Shirt & Pant Size
Shoe Size (please indicate if it is children's size or adult size):
6th Child: Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age:
Boy or Girl?
What school does the child attend?
Wish #1:
Type First Wish
Wish #2:
Type Second Wish
Wish #3:
Type Third Wish
Clothing Size (please indicate if it is children's size or adult size):
Shirt & Pant Size
Shoe Size (please indicate if it is children's size or adult size):
How did you hear about Charlotte's Hands of Hope?
How did you hear about Charlotte's Hands of Hope & Christmas Night of Joy?

Other
If you were referred by a school, school counselor or church please list it below. If not put N/A
Monthly Income:
Income for Household

First NameLast Name
Amount received in Salary Monthly:
Type Amount
Are you going to request assistance from anywhere else?
Should be Empty:

Charlotte's HANDS of HOPE

Additional person(s) 18+ living in the home.

Children under the age of 18 in the home

How did you hear about Charlotte's Hands of Hope?

Monthly Income: