2026 Coalition Christmas Application

2026 Coalition Christmas Application
Coalition Christmas helps Moore County children under 18 and seniors age 60 or older.

Complete the Coalition Client Intake Form before you apply.

Complete the Client Intake Form
Confirm

About You
Name

First NameLast Name
Last 4 digits of your Social Security number
Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (If different from physical address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Preferred method of contact
Preferred language

Your Household
How many people live in your household?
What is your total monthly household income before taxes?
Include income for everyone in your household.

Who needs Christmas assistance in your household?
Choose one:
Gift Wish Guidelines

Sponsors are asked to spend up to $75 per recipient. Please keep all gift wishes within this budget. Gift wishes are suggestions and cannot be guaranteed.
Confirm

Children
How many children are you applying for?
- Child 1 Information
- Full Name
  
  First NameLast Name
- Child's Age
- Favorite color
- Clothing size
- Shoe size
- Gift Wish Guidelines
  
  Please keep all gift wishes within the $75 sponsor budget. Gift wishes are suggestions and cannot be guaranteed.
- Gift Wish 1
  Please keep requests within the $75 sponsor budget
- Gift Wish 2
- Gift Wish 3
- Child 2 Information
- Full Name
  
  First NameLast Name
- Child's Age
- Favorite color
- Clothing size
- Shoe size
- Gift Wish Guidelines
  
  Please keep all gift wishes within the $75 sponsor budget. Gift wishes are suggestions and cannot be guaranteed.
- Gift Wish 1
- Gift Wish 2
- Gift Wish 3
- Child 3 Information
- Full Name
  
  First NameLast Name
- Child's Age
- Favorite color
- Clothing size
- Shoe size
- Gift Wish Guidelines
  
  Please keep all gift wishes within the $75 sponsor budget. Gift wishes are suggestions and cannot be guaranteed.
- Gift Wish 1
- Gift Wish 2
- Gift Wish 3
- Child 4 Information
- Full Name
  
  First NameLast Name
- Child's Age
- Favorite color
- Clothing size
- Shoe size
- Gift Wish Guidelines
  
  Please keep all gift wishes within the $75 sponsor budget. Gift wishes are suggestions and cannot be guaranteed.
- Gift Wish 1
- Gift Wish 2
- Gift Wish 3
- Child 5 Information
- Full Name
  
  First NameLast Name
- Child's Age
- Favorite color
- Clothing size
- Shoe size
- Gift Wish Guidelines
  
  Please keep all gift wishes within the $75 sponsor budget. Gift wishes are suggestions and cannot be guaranteed.
- Gift Wish 1
- Gift Wish 2
- Gift Wish 3
- Child 6 Information
- Full Name
  
  First NameLast Name
- Child's Age
- Favorite color
- Clothing size
- Shoe size
- Gift Wish Guidelines
  
  Please keep all gift wishes within the $75 sponsor budget. Gift wishes are suggestions and cannot be guaranteed.
- Gift Wish 1
- Gift Wish 2
- Gift Wish 3
- Child 7 Information
- Full Name
  
  First NameLast Name
- Child's Age
- Favorite color
- Clothing size
- Shoe size
- Gift Wish Guidelines
  
  Please keep all gift wishes within the $75 sponsor budget. Gift wishes are suggestions and cannot be guaranteed.
- Gift Wish 1
- Gift Wish 2
- Gift Wish 3
- Child 8 Information
- Full Name
  
  First NameLast Name
- Child's Age
- Favorite color
- Clothing size
- Shoe size
- Gift Wish Guidelines
  
  Please keep all gift wishes within the $75 sponsor budget. Gift wishes are suggestions and cannot be guaranteed.
- Gift Wish 1
- Gift Wish 2
- Gift Wish 3
- Child 9 Information
- Full Name
  
  First NameLast Name
- Child's Age
- Favorite color
- Clothing size
- Shoe size
- Gift Wish Guidelines
  
  Please keep all gift wishes within the $75 sponsor budget. Gift wishes are suggestions and cannot be guaranteed.
- Gift Wish 1
- Gift Wish 2
- Gift Wish 3
- Child 10 Information
- Full Name
  
  First NameLast Name
- Child's Age
- Favorite color
- Clothing size
- Shoe size
- Gift Wish Guidelines
  
  Please keep all gift wishes within the $75 sponsor budget. Gift wishes are suggestions and cannot be guaranteed.
- Gift Wish 1
- Gift Wish 2
- Gift Wish 3

Seniors Age 60 or Older
How many seniors age 60 or older are you applying for?
- Senior 1
- Full Name
  
  First NameLast Name
- Age
- Favorite Color
- Clothing Size
- Shoe Size
- Gift Wish Guidelines
  
  Please keep all gift wishes within the $75 sponsor budget. Gift wishes are suggestions and cannot be guaranteed.
- Gift Wish 1
- Gift Wish 2
- Gift Wish 3
- Senior 2
- Full Name
  
  First NameLast Name
- Age
- Favorite Color
- Clothing Size
- Shoe Size
- Gift Wish Guidelines
  
  Please keep all gift wishes within the $75 sponsor budget. Gift wishes are suggestions and cannot be guaranteed.
- Gift Wish 1
- Gift Wish 2
- Gift Wish 3

Review and Submit
Only one application may be submitted per household. Everyone listed on this application must live in your household.

All applications will be reviewed and eligibility will be verified. The Coalition will notify you by email if you are determined to be ineligible. If approved, you should hear directly from your sponsor by mid-November.
Signature
Should be Empty:

2026 Coalition Christmas Application

About You

Your Household

Who needs Christmas assistance in your household?

Gift Wish Guidelines

Children

Child 1 Information

Gift Wish Guidelines

Child 2 Information

Gift Wish Guidelines

Child 3 Information

Gift Wish Guidelines

Child 4 Information

Gift Wish Guidelines

Child 5 Information

Gift Wish Guidelines

Child 6 Information

Gift Wish Guidelines

Child 7 Information

Gift Wish Guidelines

Child 8 Information

Gift Wish Guidelines

Child 9 Information

Gift Wish Guidelines

Child 10 Information

Gift Wish Guidelines

Seniors Age 60 or Older

Senior 1

Gift Wish Guidelines

Senior 2

Gift Wish Guidelines

Review and Submit