• Christmas Winter Mommy Mingle 2026 Registration šŸŽ„ā„ļø

    Complete this application for consideration for community Christmas assistance and event participation.

  • Important: Please Read Before Applying

    Healing Hearts with Helping Hands, Inc. is accepting applications from mothers and families in need of Christmas assistance for our 2026 Christmas Winter Mommy Mingle Toy Giveaway. This form is an application for consideration only. Completing this application DOES NOT guarantee that you or your children will be selected to receive Christmas assistance or an invitation to attend the event. Because resources and available sponsorships are limited, families will be selected based on demonstrated need, household circumstances, income, family size, available resources, and program capacity. Please do not make plans to attend the event unless you receive an official selection/acceptance notification from Healing Hearts with Helping Hands, Inc. If selected, you will be contacted directly with additional instructions, confirmation requirements, and event details.

  • Applicant Information

  • Date of Birth*
    Ā -Ā -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Preferred Contact Method*
  • Currently Pregnant?*
  • Expected Due Date
    Ā -Ā -
    2 digit month, 2 digit day, 4 digit year

  • Household Information

  • Household Status*
  • Employment Status*
  • Assistance Received
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Christmas Assistance Need

  • Have you received or applied for Christmas assistance elsewhere?*

  • Children

  • Child 1*
  • Child 2
  • Child 3
  • Child 4

  • HHWHH Connection

  • Current participation in a Healing Hearts with Helping Hands program*
  • How did you hear about us?*

  • Event Commitment

  • Can you attend December 19, 2026 from 4:00 PM to 8:00 PM in Old Town Spring?*
  • Do you have reliable transportation?*

  • Photo Consent

  • Consent to photos/video of yourself?*
  • Consent to photos/video of your children?*

  • Required Acknowledgment

  • Acknowledgment:

    I understand this application is for consideration only. Submission DOES NOT guarantee Christmas assistance or an invitation to the event. HHWHH has limited resources and cannot assist every applicant. Selection is based on household circumstances, demonstrated need, available donations/sponsorships, and program capacity. I certify that the information I provided is accurate. False information may result in removal from consideration. If selected, I agree to follow all confirmation instructions and deadlines.

    Ā 

  • Should be Empty: