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2026 Holiday Program Sign-Up
This application is for Polk County residents, for both Thanksgiving and Christmas food boxes & Christmas gift distribution. Senior citizens (ages +65) & Polk County children (ages 0-18) who are attending school are eligible for gift distribution.
Head of Household Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
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Which Holiday Meal box(es) would you like to receive?
*
Thanksgiving
Christmas
Both
None
How many individuals currently live in your home? (Count everyone living under the same roof)
*
Thanksgiving Meal: Distribution days will be November 2- 25, during normal Outreach business hours.
Monday & Thursday: 9:00 AM – 6:00 PM Closed for lunch: 12:00 – 1:00 PM Tuesday & Wednesday: 9:00 AM – 4:00 PM Closed for lunch: 12:00 – 1:00 PM
Christmas Food Package: Distribution days will be December 1 - 17, during normal Outreach business hours.
Monday & Thursday: 9:00 AM – 6:00 PM Closed for lunch: 12:00 – 1:00 PM Tuesday & Wednesday: 9:00 AM – 4:00 PM Closed for lunch: 12:00 – 1:00 PM
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Do you have children living in your home between the ages of 0-18 years old attending school?
*
Yes
No
How many children are in your home that are still attending school and between the ages of 0-18
*
List all children living in your home that are 0 - 18 years old still attending school:
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Do you have an adult in your home, including yourself, that is 65 years of age or older?
*
Yes
No
How many adults are in your home that are 65 years of age or older
*
List all adults 65 years of age or older living in your home, including yourself.
*
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Pick up Christmas gifts at Outreach (134 White Drive, Columbus, NC) on your designated appointment time and date. Please select the day and time that works best for you.
Thank You & Happy Holidays from your friends at Outreach
Please refer to your email for details on your holiday distribution.
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