S.W.A.T. Foundation Elberton Christmas Assistance Application 2026
Submit one household application for children ages 5–12, including required birth/guardian documentation for each child.
Household Information
Head of Household Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Street Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
City
*
State
*
Please Select
Alabama
Other
ZIP Code
*
County
*
Number of Children in the Home Ages 5–12
*
Are You Requesting Assistance Elsewhere?
*
Yes
No
Why is Christmas assistance needed?
Child 1 Information
Child 1 Full Name
*
First Name
Last Name
Child 1 Age
*
Child 1 Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child 1 Gender
*
Please Select
Female
Male
Non-binary
Prefer not to say
Other
Child 1 Wish/Likes (no electronics)
*
Size:
Size
*
; Sizing type (Child/Adult):
Size:
Size
*
; Sizing type (Child/Adult):
Size:
Size
*
; Sizing type (Child/Adult):
Child 1 Birth Certificate or Guardian Documentation
*
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of
Child 2 Information
Child 2 Full Name
*
First Name
Middle Name
Last Name
Child 2 Age
*
Child 2 Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child 2 Gender
*
Girl
Boy
Non-binary
Prefer not to say
Other
Child 2 Wish / Likes (no electronics)
*
Child 2 Clothing Size
*
Child 2 Clothing Size Type
*
Please Select
Child
Adult
Child 2 Coat Size
*
Child 2 Coat Size Type
*
Please Select
Child
Adult
Child 2 Shoe Size
*
Child 2 Shoe Size Type
*
Please Select
Child
Adult
Child 2 Birth Certificate or Guardian Documentation
*
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of
Child 3 Information
Child's Full Name
*
First Name
Last Name
Age
*
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender
*
Female
Male
Non-binary
Prefer not to say
Other
Wish / Likes (no electronics)
*
Clothing Size
*
Clothing Sizing Type
*
Child
Adult
Coat Size
*
Coat Sizing Type
*
Child
Adult
Shoe Size
*
Shoe Sizing Type
*
Child
Adult
Birth Certificate or Guardian Documentation
*
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of
Child 4 Information
Child 4 Full Name
*
First Name
Middle Name
Last Name
Child 4 Age
*
Child 4 Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child 4 Gender
*
Female
Male
Non-binary
Prefer not to say
Other
Child 4 Wish / Likes (no electronics)
*
Child 4 Clothing Size
*
Clothing Sizing Type
*
Please Select
Child
Adult
Child 4 Coat Size
*
Coat Sizing Type
*
Please Select
Child
Adult
Child 4 Shoe Size
*
Shoe Sizing Type
*
Please Select
Child
Adult
Child 4 Birth Certificate or Guardian Documentation
*
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Choose a file
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of
Child 5 Information
Child 5 Full Name
*
First Name
Middle Name
Last Name
Child 5 Age
*
Child 5 Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child 5 Gender
*
Please Select
Female
Male
Non-binary
Prefer not to say
Other
Child 5 Wish / Likes (no electronics)
*
Child 5 Clothing Size
*
Clothing Sizing Type
*
Please Select
Child
Adult
Child 5 Coat Size
*
Coat Sizing Type
*
Please Select
Child
Adult
Child 5 Shoe Size
*
Shoe Sizing Type
*
Please Select
Child
Adult
Child 5 Birth Certificate or Guardian Documentation
*
Upload a File
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Choose a file
Cancel
of
Pickup Acknowledgment and Certification
Pickup Acknowledgment
*
I acknowledge that distribution is Sunday, November 15, 2026 at Blackwell Gym, 390 Mill St, Elberton, GA 30635, with time to be announced
I understand that I am responsible for transportation to and from pickup
I understand that children do not have to be present if required documentation has already been uploaded and verified
Certification of Information Accuracy
*
I certify that all information provided in this application is accurate and complete
I understand that assistance is not guaranteed
I understand that duplicate or intentionally false applications may be denied
Parent/Guardian Full Name
*
First Name
Middle Name
Last Name
Parent/Guardian Electronic Signature
*
Date Signed
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Comments
Submit Application
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