2025 Fletcher Place Community Center Christmas Shopping Enrollment Form

Welcome to the 2025 Fletcher Place Community Center (FPCC) Christmas Shopping program.  FPCC's mission is to ease the burden of low to moderate income individuals who struggle with life’s basic needs.  To best support the local community, the Christmas Shopping Program is made available first to households that include children under 18 years old, within 46203 area code, and not also enrolled in a second holiday gift program.  Please ONLY submit if the above critieria are met. 

This program is provided by the work of dedicated volunteers and donations from our church and community partners. Resources available to the program are limited, eligible families may be waitlisted.  Acceptance to the program is not guaranteed, if your family is accepted into the program, you will be contacted by FPCC staff with a date and location to participate in the shopping event. 

Proof of address with a recent utility bill is required.  Please upload documentation below.

Services will be provided without discrimination because of race, age, color, gender, religion physical or mental capacity, sexual orientation, familial status, veteran status, national origin or ancestry. 

This agency is requesting information necessary to comply with the requirements of funders of this program.  I understand the information on this form will be kept confidential but may be shared with other agencies to which I may be referred for services.  I understand I may be requested to verify these statements and give my consent for this agency to make any necessary contacts to verify these statements.  Statistical information will be provided to the funders of this program for the purpose of better planning and delivery of services to the community.  

I hereby certify that the above information is correct and true to the best of my knowledge.  

I understand that acceptance in the program is not guaranteed.