🎄 Christmas Extravaganza Assistance Application

1

I have reviewed the “Before You Apply” information and understand the basic rules of the Christmas Extravaganza.* This field is required.

Yes

2

What is your full name?* This field is required.

First Name

Last Name

3

What is the best phone number to reach you?* This field is required.The Foundation will call from 832-299-5439. Please save this number in your phone as “The Jenna Marie Foundation.”

Please enter a valid phone number.

4

Email address where you can be reached.

example@example.com

5

City where you live* This field is required.

6

Zip code where you live* This field is required.

7

How did you hear about the Christmas Extravaganza?* This field is required.

Current Jenna Marie Foundation client

Community partner referral

Friend or family member

Facebook

Instagram

Church

School

Another nonprofit/community organization

I participated in a previous Christmas Extravaganza

8

Are you registering as:* This field is required.

A survivor

A current Foundation client

A family experiencing hardship

A community-partner referral

A family member/friend/caregiver registering children

9

Child’s first name* This field is required.

10

Is this child a girl or boy?* This field is required.

Girl

Boy

11

Age* This field is required.

12

If this child is enrolled in school, give the name of the school.

13

⭐ What is this child’s ONE special Christmas wish?

14

Child’s first name

15

Is this child a girl or boy?

Girl

Boy

16

Age

17

If this child is enrolled in school, give the name of the school.

18

⭐ What is this child’s ONE special Christmas wish?

19

Child’s first name

20

Is this child a girl or boy?

Girl

Boy

21

Age

22

If this child is enrolled in school, give the name of the school.

23

⭐ What is this child’s ONE special Christmas wish?

24

Child’s first name

25

Is this child a girl or boy?

Girl

Boy

26

Age

27

If this child is enrolled in school, give the name of the school.

28

⭐ What is this child’s ONE special Christmas wish?

29

The Christmas Extravaganza is Sunday December 13, 2026 from 10am to 5pm.* This field is required.You must check all boxes to confirm you understand.

I understand that I am responsible for transportation to and from the Christmas Extravaganza.

I understand that the Foundation does not deliver Christmas gifts.

I understand that the adult completing this application must be the person who picks up the gifts.

I understand that children are NOT permitted inside the Christmas gift-distribution area and that the Foundation does not provide childcare.

I understand that gifts not picked up by 5:00 PM on December 13, 2026 will be forfeited and may be redistributed to another family.

30

📞 Important Communication Information* This field is required.Christmas assistance is offered on a first-come, first-served basis and is subject to available donations and program capacity. The Foundation will call accepted and waitlisted applicants from:832-299-5439 We will make two (2) attempts to reach you. If we do not hear from you after the second attempt, your application will be removed and we will move to the next family on the waiting list.

I have saved 832-299-5439 in my phone as “Jenna Marie Foundation” and understand the two-call policy.

31

Final Certification* This field is required.You must check all boxes to confirm you understand.

I certify that the information I provided is truthful and accurate to the best of my knowledge.

I understand that submitting this application DOES NOT GUARANTEE acceptance or specific gifts.

I understand that all gifts depend on donations and available program resources.

I give The Jenna Marie Foundation permission to contact me regarding my Christmas Extravaganza application.

32

Electronic Signature* This field is required.By typing my full name below, I confirm that I completed this application and agree to the acknowledgments above.