Port Cares Christmas - Make Family Wishes Come True 2025

Make Family Wishes Come True

Give-a-gift
Registration & Process

Registration ends December 11th, 2026.

Once you fill out this application, our staff will connect with you via phone or email to confirm application status. IF YOU APPLY, PLEASE KEEP AN EYE ON YOUR EMAIL, INCLUDING JUNK FOLDERS. They will also arrange a date and time for pick up.

Deadlines:

Last day to apply: December 11th
Pick-up days : December 18th & December 21- 23nd (a date/time will be assigned)

If you have any questions, reach out to our give a gift designate at the Reach Out Centre, Kay Fisher at Katherine.Fisher@portcares.ca or call 289-668-7624.
Before you Apply...

To be eligible for funding, primary caregivers must first meet specific financial criteria (refer to table below). This program proudly serves all qualifying children of Port Colborne and Wainfleet. All children must be living with the applicant.

Please know that the families proof of income, proof of residency and identification(s) for themselves and children are required in order to participate in our Christmas programs. This step in the process will allow applicants to submit this information alongside this application if they have it on hand.

Q: "What if do not have these documents on hand?"

A: No worries! You can submit necessary documents through our dedicated text or by providing a paper copy. Documents for eligibility must be received in order to be approved.
Application
How many children/teens are you applying for this program?
Your Name

First NameLast Name
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Your Email
example@example.com
Address

Street Address

Street Address Line 2

City / TownState / Province

Postal / Zip Code
Is online shopping an option (for gifts containing gift cards)
Are any of your children in need of a gently used bike gifted through the Broken Spokes Program? If yes, please describe their age (below 18) and gender below:

CONSENT TO COLLECT, RELEASE, USE, STORE AND DISCLOSE INFORMATION
I,

First NameLast Name
Of address:
In accordance with The Federal Personal Information Protection and Electronic Documents Act (PIPEDA); The Personal Health Information Protection Act (PHIPA) of Ontario; Ontario's Freedom of Information and Protection of Privacy Act (FIPPA) and the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Hereby consent to the collection, use, storage and disclosure of my personal information with:

PORT CARES

Thank you for filling out our Port Cares Christmas program application for recipients. You are almost done, however there are a couple documents required to submit. If you do not have the documents on hand for submission, thats okay! They are not required for submission, however WILL be required before approval.

The documentation required are as follows:
- Proof of Household Income
- Proof of residency
- Identification for Caregivers and Children
If you would like to submit this information online but do not have the information on hand, click "Save" below to create a draft, and then "Skip Create an Account" if you do not have a jotform account. You will get the option to send the draft link to your email, or save the draft link directly.
Proof of Income

Cancelof
Proof of Residency

Cancelof
ID for each member of the household, including applied children

Cancelof
Should be Empty:

Application

Below 18 years

CONSENT TO COLLECT, RELEASE, USE, STORE AND DISCLOSE INFORMATION