• Christmas Social Application

    Christmas Social Application

    December 13th, 2026 | Masso's Orchard Garden, Glassboro, NJ
  • Format: (000) 000-0000.
  • Relationship to you*
  • Reason For Applying

  • Which statement best describes why your family is applying for the Christmas Social?*
  • Would your child likely receive few or no Christmas gifts without assistance from this program?*
  • Attendance Information

    *This event is limited to the approved parent or legal guardian, their children included on this application, and a nurse or essential caregiver when medically necessary. Extended family members, friends, and guests are not permitted under your application.*
  • Will a nurse or medically necessary caregiver attend with your family?*
  • Please select your preferred time slot.*
  • If your preferred time reaches capacity, are you willing to attend the other time slot?*
  • Christmas Gift Information

    Important Information About Siblings: Siblings of the child with a disability do not need a separate application or Member ID to attend. All siblings must be listed on this application in advance. Approved siblings will be able to participate in the event and select a gift from Santa’s Toy Table. If more than one child in your household has a From We Can’t to We Can Member ID, please include all Member IDs on this application. Only one Christmas Social application should be submitted per household. This sibling policy does not include cousins, friends, or children from another household. Any additional family must have its own Member ID, submit a separate application, and receive approval.
  • What age range best matches the toys and gifts they enjoy?*
  • Which category best matches the toys and gifts they enjoy?*
  • Additional Member IDs

    Fill out or skip this section if you have more than one member ID
  • How many children in your household have an active Member ID?*
  • What age range best matches the toys and gifts they enjoy?
  • Which categories best matches the toys and gifts they enjoy?
  • What age range best matches the toys and gifts they enjoy?
  • Which categories best matches the toys and gifts they enjoy?
  • AGREEMENTS & ACKNOWLEDGMENTS

  • Today's Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: