Light The Season Workshop Registration
Please use this form to sign up children and teens so that together, we can bring holiday magic to children in foster care.
Applicant Information
Applicant Full Name (this is the adult putting in the request)
*
First Name
Last Name
Applicant Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Applicant Email Address
*
example@example.com
What is your role in the child/ren's life?
*
Case Manager
Child Advocacy Manager
Foster Parent
Group Home Employee
Guardian ad Litem
Relative/Non-Relative Caregiver
Parent
Other
How Did You Hear About Light the Season?
*
Guardian ad Litem
Case Manager
Hero To A Child
Family Support Services
Suncoast Voices for Children
Word of Mouth
Social Media
Traditional Media
Other
Case Originated in What County?
*
Please Select
Pasco
Pinellas
Hillsborough
Other
Child/ren resides in what county
*
Please Select
Pasco
Pinellas
Hillsborough
Other
Zip Code of Placement
*
Is the child/ren for whom you are requesting gifts in out of home care as of today?
*
Yes
No
What is the placement type?
Foster Home
Group Home
Relative/Non-Relative Caregiver
Re-unified/In Home Services
Adopted/Permanent Guardianship
What is the Group Home or Caregiver's Name if not the applicant?
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Light the Season Workshop Registration
How many children will you be shopping for at the workshop?
What are the first and last names and ages of the children for whom you will be shopping?
Which date and time do you prefer for shopping?
Please Select
Tuesday 12/8 4pm - 7pm Pinellas
Wednesday 12/9 10am - 2pm Pinellas
Thursday 12/10 4pm - 7pm Pasco
Friday 12/11 10am - 2pm Pasco
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Thank you so much!
Should we have any questions about your submission and/or we find that you are ineligible for assistance, we will call, text or email to let you know. Depending upon when you register for the Light The Season workshop, you will receive an email the week of Thanksgiving confirming your participation and reminder emails the first week of December and then again the day before your chosen shopping day.
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