Registration and Item Donation Form
Due by December 2, 2025
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Donation (We need 50 for men and 25 for women of each item)
Financial Donations
Socks
Lip Balm
Hats
Lotion (Travel Size)
Gloves
Scarves
Tissues
Shampoo (Travel Size)
Tuna or Chicken Pouches with crackers
Toothbrush and paste
$5.00 McDonalds or Burger King gift cards
Deodorant
Wrapped Candy (not chocolate)
Comb or Brush
Bottled Water
Cookies (Individual packs)
3 Gallon Zip Lock Bags
Peanut Butter or Cheese Crackers
Razors
How many of each item chosen would you like to donate? (This will help to know what is still needed.)
Volunteering to put bags together on Saturday, Dec. 6th from 10:00-11:30 am (yes/no)
Volunteering to put bags together on Monday, Dec. 8th at 10:30 (yes/no)
Notes (Names of volunteers coming with you and ages)
Remember to check your email for responses!
Submit
Should be Empty: