S.A.M.’S CHRISTMAS WISHLIST
Please complete this form to share your family’s contact information, child details, wish list preferences, and required acknowledgements for S.A.M.’s Christmas Wish.
Parent/Guardian & Contact Info
Parent/Guardian Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred Method of Contact
*
Please Select
Phone call
Text message
Email
City where your family lives
*
How many children are you registering?
*
Please Select
1
2
3
4
5+
Family Situation
Briefly explain why your family would benefit from S.A.M.’s Christmas Wish this year
*
Current family circumstances
*
Loss/reduction of household income
Housing instability
Single-income household
Foster/kinship care
Recent family emergency
Other
If you selected “Other,” please explain
*
Child Information
Name of Child(ren)?
*
Child(ren)'s Ages?
*
Child(ren)'s Grade(s)?
*
Child(ren)’s Favorite Colors
What do they enjoy?
Clothing Size(s)?
Shoe Size(s)?
Wishlist – General (for all ages)
What is your child(ren)’s #1 Christmas wish?
*
What are 2–3 other gifts your child(ren) would enjoy?
*
Do your child(ren) have any specific needs you’d like S.A.M. to consider?
Clothing
Shoes
Hygiene/personal-care items
School supplies
Books
Other
Please tell us about any specific interests, hobbies, characters, brands, or activities that may help us choose an appropriate gift.
Teen-Specific Wishlist (ages 13–17 only)
What would your teen choose as their #1 Christmas gift?
*
What are 2–3 other things your teen would enjoy?
*
What stores, brands, restaurants, or activities does your teen enjoy?
Would your teen be happy receiving a gift card?
*
Please Select
Yes
No
Is there anything else you want S.A.M. to know about your teen’s interests?
Consents & Acknowledgements
I understand.
*
I understand that submitting this form does not guarantee Christmas assistance from S.A.M. And that the information provided is accurate to the best of my knowledge.
May S.A.M. share your child(ren)’s anonymous Christmas Wish for fundraising purposes?
*
Please Select
Yes
No
Submit
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