TOY Christmas Assistance 2025

Parent/Applicant Information
Parent/Applicant*

First NameLast Name
Parent/Applicant Date of Birth*

MonthDayYear
Address*

Address

Apartment Number

CityState / Province

Postal / Zip Code
City*
ONLY city/towns for Lancaster County are listed.
Zip Code*
Only Zip Codes in Lancaster County are listed.
Phone Number *
A Phone Number must be provided.
Total # of people living in household?*
This # should include ALL Members in Household

Do you have a Child with Special Needs to Register for Toys?*

NO, I have no Special Needs Child to Register for TOYS.Yes, I have a Child with SPECIAL NEEDS to Register for Toys.

Special Needs Children

This Section is ONLY for Children with Special Needs with developental age under 12
- All children registered must reside in the Applicants household.
- At the Time of you Appointment, you Must provide Documentation for child's Developmental age. Without documentation we can not provide toys for the Special needs Child.
- We accept any Official Documentation that states the Developmental Age of the child. (Doctors, School, ect.)
Documentation for Child's developmental age must be provided in order to receive Toys that are age appropriate.*

I understand I MUST provide Documentation of Childs Developmental AgeI made a mistake and have NO Children with Special Needs
How Many Children with Special Needs would You Like to Register for Toys?*
Developmental Age is Younger than Childs actual age

Do you have OTHER children to Register for Toys?*

YES, I would like to register OTHER Children in my household for TOYS.NO, there are no more Children to Register for Toys

Number of Teens age 13 - 17 living in the Household*

O1234
Please DO NOT list any Special Needs Children in this section. Special Needs Children eligable for TOYS should be registered in the Special Needs section.

Ages of Teens
Ages of any Teens 13 - 17 living in the Household*
The Salvation Army has an overnight Summer Camp program for children ages 7-16. Would you like information about this program?

Yes. Please Email me more information about this program.No. I am not interested in more Information.
Can we Email you about Special Programs we may have?

YesNo

Are you able to come during the day between 9:30am-3:30pm?*

Yes, I can come during the dayNo, I need an appointment after 3pm
Would you like a Morning or an Afternoon Appointment?*

AfternoonMorning

2025 TOY & Food Card Christmas Application