2026 Holiday Program Application

2026 Holiday Gift Program Application
Thank you for applying for our annual gift bag. This application must be completed and submitted by September 30, 2026, latest. We will let you know by November 15, 2026 if your application is approved. We will also let you know at that time the delivery date for gift bags which is, typically, one or two weeks before Christmas. Currrently, we expect to make deliveries on Saturday, December 12th.
Please Select the Number Below for Which Town or Area You Live In.
1 - Telluride, Mtn. Village, Down Valley; 2 - Norwood; 3 - Redvale, Egnar, Dove Creek; 4 - Naturita, Bedrock; 5 - Nucla
Name of Applicant

First NameLast Name
Age
Cell Phone Number
Email Address
example@example.com
Mailing Address

Street or PO Box

Street Address Line 2

CityState / Province

Postal / Zip Code
Delivery Address for Gift Bag

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Special Delivery Notes or Instructions
Please Check Any and All Assistance Programs You Subscribe To
If you chose "Other," please explain, here.
If you chose "None of the Above," please explain why you are in financial need, here.
Additional Household Members
Please Note: You may only apply for actual family members who are residing in your home. If there are others in your home who qualify but are not members of your family, they should apply on their own, separately.
Total Number of Household Members, Including Yourself
How Many Children in Your Household Aged 12 and Under?
How Many Girls Aged 0-3?
How Many Girls Aged 4-7?
How Many Girls Aged 8-12?
How Many Boys Aged 0-3?
How Many Boys Aged 4-7?
How Many Boys Aged 8-12?
How Many Seniors (60 and Over) in Your Household
Please Provide Names of all Seniors
How Did You Learn of Our Holiday Program?
If you chose "Other," please explain here.
By signing here I certify that all the information I have provided is true and accurate.
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2026 Holiday Gift Program Application

Additional Household Members