Holiday Hope 2026
Family Registration | The Legacy Mom Foundation DMV Chapter
Parent or Guardian Information
Main Contact Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred contact method
*
Text
Email
Call
Home 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
What is your relationship to the children being registered?
*
Mother
Father
Grandparent
Legal Guardian
Other
Which best describes your household?
*
Single-mother household
Single-father household
Two-parent household
Grandparent or other guardian household
Other
How many children are you requesting assistance for?*
Do the children being registered live with you?
*
Full Time
Part Time/ Shared Custody
Another arrangement
Your Family's Holiday Needs
Please briefly describe why your family is requesting holiday assistance this year
*
Share only what you feel comfortable sharing. You do not need to include sensitive medical or legal details.
Are any of these children receiving or awaiting Christmas gift assistance from another organization?
*
No
Yes, assistance is confirmed
We have applied and are awaiting a decision
Unsure
If applicable, please list the organization, children involved, and assistance expected
This helps us coordinate support and avoid duplicate gifts. Applying elsewhere does not automatically disqualify your family
Has your family participated in Holiday Hope before?
*
Yes
No
Unsure
How did you hear about Holiday Hope?
*
Social media
Friend or family
School
Church or community organization
Previous participant
Other
Child Profile
Complete a separate profile for each child
About Your Child
*
Gift Pickup and Communication
If selected, can you arrange for yourself or an authorized adult to pick up your family’s gifts in Loudoun County, Virginia?
*
Yes
Yes, an authorized adult can pick up on my behalf
I am unsure and need to discuss pickup arrangements
Are there any accessibility accommodations you need for pickup?
*
Please describe so our team can discuss available accommodations.
Who will pick up the gifts?
*
Myself / Another authorized adult—please provide their name
Anything else you would like our team to know?
Acknowledgments
*
I confirm that the information provided is accurate to the best of my knowledge.
I understand that registration does not guarantee assistance or any particular gift
I understand that I must respond to program communications and follow the pickup instructions provided if my family is selected.
I authorize The Legacy Mom Foundation to share a limited child wish-list profile with potential or assigned sponsors. Profiles will use a family/child code and include age, interests, sizes, and requested items. My contact information, home address, and private household explanation will not be included
I agree to receive communications about this Holiday Hope registration using my selected contact method
I understand that gift pickup will take place in Loudoun County, Virginia. If selected, I am responsible for arranging pickup by myself or an authorized adult. Delivery is not provided.
I would also like to receive news about future Legacy Mom Foundation programs and events
*
Yes
No
Register
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