Holiday Gifts for Kids Bemidji
2025 Registration Form
Parent/Legal Guardian #1
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First Name
Last Name
Parent/Legal Guardian #2
First Name
Last Name
Phone Number
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Please enter a valid phone number.
Physical Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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*Postcards will be mailed on Dec. 5th with a confirmation or regret notice. If you do not receive a postcard, please call United Way of Bemidji Area at 218-444-8929.
FIRST & LAST NAME OF EACH CHILD YOU ARE THE PARENT / LEGAL GUARDIAN OF, NO NOT LIST NICKNAMES. Only one gift per child is permitted. Do not fill out additional forms or have anyone else complete forms for any child you have listed.
Child's First & Last name
Age(0-17 only)
Date of Birth
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
*Disclaimer: If a child's name is listed on more than one registration form, we will contact you to determine legal guardianship.
I have read and agree to the Important Information form that goes with this application (view and download the "Important Information" document at www.unitedwaybemidji.org/holiday-gifts-kids). I affirm that all information completed on this form is accurate. I affirm that I am the parent or legal guardian to all the children listed above and they all live at the above address and are residents of Beltrami, Hubbard or Clearwater counties. I understand, I will receive a confirmation postcard allowing me to participate in the 2025 Holiday Gifts for Kids program. If my application is not approved, I understand I will receive a regret notice by postcard.
Click below to indicate all the information provided is correct and that you understand the disclaimers above.
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I understand
Submit
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