Breeze Family Connection Holiday Application

Welcome to the 1st Annual Holiday Wish Program! Blossom Breeze Early Learning Center invites families to apply for personalized Christmas gifts for one eligible child, ages newborn to 10. Information submitted will be kept private and confidential. Applications are due November 22, 2026, at 12:00 a.m.

Parent/Guardian Full Name

First NameLast Name

Relationship to Child

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Home Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Preferred Contact Method

Center Connection

How Did You Hear About The Blossom Breeze Family Connection Program?

Other referral source

Child's Name / Nickname

First NameLast Name

Age

Gender

Shirt / Top Size

Pants / Bottoms Size

Shoe Size

Need #1 (Essential) — specific item, preference, or size

Need #2 (Essential) — specific item, preference, or size

Want #1 (Toy / Special Gift) — specific item, preference, or size

Want #2 (Toy / Special Gift) — specific item, preference, or size

Favorites & Interests

Family Impact Statement

Please share a brief note about your family and what receiving gifts through this program would mean for your child this Christmas:

This is the 1st Annual Blossom Breeze Family Connection program, establishing a yearly tradition to give back to center and community families.

The program provides holiday gifts for one child enrolled at Blossom Breeze Early Learning Center and one child from the broader community. Selections are made annually through a shuffle/draw of eligible applications. Sponsored children will be selected November 25, 2026. If a selected family cannot be reached within 48 hours, an alternate application will be drawn.

Applications submitted after the November 22, 2026 deadline will not be considered. One application per family; multiple applications from one family, including applications using different addresses or phone numbers, will not be accepted. All family and child information is kept private and confidential. Incomplete applications or applications missing a parent/guardian signature will not be placed in the selection pool. Children must be ages newborn to 10 at the time of application. Only one child may be sponsored per family each year. Applicants for the center slot must have a child currently enrolled at Blossom Breeze Early Learning Center; applicants for the community slot must reside in Hernando County. Selected families will be notified in late November to coordinate private delivery before Christmas.

Parent / Guardian Signature

Date

Breeze Family Connection Application

Parent / Guardian Information

Child Details & Wishlist (Ages Newborn–10)

Wishlist Details

Family Impact Statement

Program Guidelines & Agreement