Hill Country Christmas Bureau - Application for Assistance 2026

Application for Assistance
Please provide a valid email address for us to contact you. The email will provide your Family registration number, date and time of pickup. - If you do not receive an email 10 days after your application is submitted, please contact us at: HillCountryChristmasBureau@gmail.com

Please be sure all the blanks are filled in accurately, we will be verifying your information with past registration applications and or school attendance.

If you have experienced an exceptional hardship this past year, please let us know in the Reason For Applying space provided - we may contact you for more information.
Are you a NEW APPLICANT or RETURNING APPLICANT:
Parent/Guardian Name

First NameLast Name
Spouse Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Have you applied for assistance with any other organization (Blue Santa, Project Share, Brown Santa, Red Santa, etc?) this year?
What other organization have you requested assistance from (Blue Santa, Project Share, Brown Santa, Red Santa, etc?) this year?
Reason for applying (unemployed, hardship, etc.)/ Motivo para solicitar (no Tiene trabajo, siuación crítica, etc) Please explain in detail in the box below your reason for applying:

Explain in detail the reason for applying0/0
How many children are you registering?
Child Information - 12 and younger
First Child - 12 and younger
Child's Name

First NameLast Name
Gender
Age of Child
Years or Months
Birth Date Child 1

MonthDayYear
Ethnicity / Race
School
Grade
Disabled
Briefly describe disability child 1
Child 1 - Wishlist
Second Child
Child's Name

First NameLast Name
Gender
Age of Child
Years or Months
Birth Date Child 2

MonthDayYear
Ethnicity / Race
School
Grade
Disabled
Briefly describe disability child 2
Child 2 - Wishlist
Third Child
Child's Name

First NameLast Name
Gender
Age of Child
Years or Months
Birth Date Child 3

MonthDayYear
Ethnicity / Race
School
Grade
Disabled
Briefly describe disability child 3
Child 3 - Wishlist
Fourth Child
Child's Name

First NameLast Name
Gender
Age of Child
Years or Months
Birth Date Child 4

MonthDayYear
Ethnicity / Race
School
Grade
Disabled
Briefly describe disability child 4
Child 4 - Wishlist
Fifth Child
Child's Name

First NameLast Name
Gender
Age of Child
Years or Months
Birth Date Child 5

MonthDayYear
Ethnicity / Race
School
Grade
Disabled
Briefly describe disability child 5
Child 5 - Wishlist
Sixth Child
Child's Name

First NameLast Name
Gender
Age of Child
Years or Months
Birth Date Child 6

MonthDayYear
Ethnicity / Race
School
Grade
Disabled
Briefly describe disability child 6
Child 6 - Wishlist
Seventh Child
Child's Name

First NameLast Name
Gender
Age of Child
Years or Months
Birth Date Child 7

MonthDayYear
Ethnicity / Race
School
Grade
Disabled
Briefly describe disability child 7
Child 7 - Wishlist
Eighth Child
Child's Name

First NameLast Name
Gender
Age of Child
Years or Months
Birth Date Child 8

MonthDayYear
Ethnicity / Race
School
Grade
Disabled
Briefly describe disability child 8
Child 8 - Wishlist
*Older children, 13,14,15 (name, sex, age) living in the house:
List electronics in household/Lista o Circulo de electrónica en casa, Game Console, DVD, BlueRay player, iphone, android phone, other:
Need/Necesita? Blankets Mantas Heater/Calentador - Not everyone will receive/No todos recibirán:
Please attach proof of residence to your registration. It must be in the name of person completing your registration. It can be a utility bill, insurance statement or other mail received that shows your name and address within the Leander ISD boundaries. Por favor, adjunte pruebas de residencia a su registro. Debe ser en nombre de persona que complete su registro. Puede ser una factura de utilidad, declaración de seguros u otro correo recibido que muestra su nombre y dirección dentro de los límites ISD Leander.

Cancelof
I CERTIFY that the information provided is true and correct. Information provided is subject to verification. False information may cause my application to be rejected. / Yo certifico que la informacion proporionada es verdadera y correta. La información que estoy proporcionando será verificada. Mi solicitud puede ser rehazada a ausa de información falsa proporcionada. I hereby give consent to release information filled out on The Hill Country Christmas Bureau 2026 Application if I should get adopted out this Christmas Season. I understand that all the information that I provided will be release. By typing my name in the box below for the consent. TYPE YOUR FIRST AND LAST NAME IN THE BOX BELOW AND DATE:
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
ADMIN NOTES
Should be Empty:

Application for Assistance

Child Information - 12 and younger

First Child - 12 and younger

Second Child

Third Child

Fourth Child

Fifth Child

Sixth Child

Seventh Child

Eighth Child