CJTT Christmas Wish 2019

1
PLEASE NOTE

- NEW FORMAT -

ONE APPLICATION PER CHILD
2
The mission of Christmas Wish is to provide gifts to underprivileged children from South Temiskaming.

Deadline to apply is November 25, 2019.
3
Do you understand providing fraudulent claims within this application can result in legal charges?* This field is required.Be sure to answer all questions honestly.
YESNO
4
Do you understand prior acceptance (previous years) does not mean automatic approval this year?* This field is required.Families should not expect nor anticipate ongoing approval. Need is assessed from year to year.
YESNO
5
Christmas Wish is not a food program. It is a volunteer-driven initiative with the mission of providing the "gift of hope and confidence" to local underprivileged children - BORN IN THE YEARS 2005-2017. Does this child need a new wardrobe?* This field is required.We are gifting underprivileged children - LIVING FULL TIME in South Temiskaming - Temagami to Englehart - Elk Lake to Notre Dame du Nord. It is extremely important you know (DO NOT GUESS) the size of each child you recommend.
YESNO
6
Answering "NO"

to any of the previous questions

will result in your application

not being accepted or reviewed.
7
If Christmas Wish declines this child - will this child receive gifts from others this Christmas?* This field is required.Christmas Wish is about the child. It considers gifting by parents, guardians, and extended family when qualifying and quantifying need.
YES
NO
NOT SURE
8
Which agency assists this child's family?* This field is required.Christmas Wish will validate your response with the agency.
Not sure
Not registered with any agency
DTSSAB
Ontario Works
NEOFACS
Kunuwanimano Child and Family Services
Brighter Futures
Latchford/Cobalt Food Bank
Haileybury Food Bank
Salvation Army Food Bank
Earlton Food Bank
9
Which school does this child attend?* This field is required.Please complete one application per child. Christmas Wish will validate your response with the school.
École Assomption Earlton
École Navigateurs
École Secondaire Catholique Ste. Marie
École St-Croix
École St-Michel
Elk Lake Public School
Englehart High School
Englehart Public School
English Catholic Central School (ECCS)
Holy Family Englehart
Kerns Public School
Kiwetin School (TFN)
New Liskeard Public School
St. Patrick School
Temagami Public School
Timiskaming District Elementary School
Timiskaming District Secondary School
Child is too young to attend school
Child is home schooled
10
Why should this child be gifted by Christmas Wish? Christmas Wish may consider children not recommended by schools and agencies, however we require specifics on this family's hardship situation.* This field is required.Please give as many details as possible.
11
Applicant's (YOUR) Name* This field is required.We need this information in the event we have further questions.
First Name
Last Name
12
Applicant's (YOUR) Email Address* This field is required.
example@example.com
13
Applicant's (YOUR) Daytime Phone Number* This field is required.
14
Applicant's (YOUR) Evening Phone Number* This field is required.
15
What is your connection to this child?* This field is required.
Agency
School
Parent
Relative
Friend
Other
16
To avoid duplication, it is important to identify all parents/guardians connected to this child.

Please provide all the information requested.

Only fully completed applications will be considered.
17
Name of BIOLOGICAL Parent #1?* This field is required.
First Name
Last Name
18
Relationship of Parent #1 to this child?* This field is required.
Mother
Father
19
Where does Parent #1 work?* This field is required.If this parent does not have paid employment, please indicate their situation.
20
What is the Email address for Parent #1?* This field is required.If this parent does not have an email address please put - na@noaddress.com
example@example.com
21
Where does Parent #1 live?* This field is required.If unknown or this parent is deceased please put - Not Applicable - in each section.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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
22
Phone Number for Parent #1?* This field is required.If this parent does not own a telephone, please provide a phone number where they can be reached. If they are deceased please put CJTT's phone number.
23
Alternate Phone Number for Parent #1?
24
Name of BIOLOGICAL Parent #2?* This field is required.
First Name
Last Name
25
Relationship to Parent #2 to child?* This field is required.
Mother
Father
26
Where does Parent #2 work?* This field is required.If this parent does not have paid employment, please indicate their situation
27
What is the Email address for Parent #2?* This field is required.If this parent does not have an email address please put - na@noaddress.com
example@example.com
28
Where does Parent #2 live?* This field is required.If unknown or this parent is deceased please put - Not Applicable - in each section.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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
29
Phone Number for Parent #2?* This field is required.If this parent does not own a telephone, please provide a phone number where they can be reached. If they are deceased please put CJTT's phone number.
30
Alternate Phone Number for Parent #2?
31
Who does this child live with?* This field is required.
Both parents
Shared custody
Parent #1 only
Parent #2 only
Other
32
Where will the child be Christmas morning?* This field is required.Christmas Wish protocol is to place the gifts where the child will wake up on December 25th
Both parents
Parent #1
Parent #2
Other
33
If child lives with one or both biological parents - PLEASE CHOOSE SKIP NEXT SECTION
SKIP NEXT SECTION
COMPLETE NEXT SECTION
34
Name of GUARDIAN/STEP PARENT #1?
First Name
Last Name
35
Please indicate which applies:
Step Parent
Guardian
36
Where does Guardian/Step Parent #1 work?
37
What is the Email address for Guardian/Step Parent #1?
example@example.com
38
Where does Guardian/Step Parent #1 live?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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
39
Phone Number for Guardian/Step Parent #1?
40
Alternate Phone Number for Guardian/Step Parent #1?
41
Name of GUARDIAN/STEP PARENT #2?
First Name
Last Name
42
Please indicate which applies:
Step Parent
Guardian
43
Where does Guardian/Step Parent #2 work?
44
Where does Guardian/Step Parent #2 live?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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
45
Phone Number for Guardian/Step Parent #2?
46
Alternate Phone Number for Guardian/Step Parent #2?
47
Please give details if there are any other parents or guardians involved in this child's life:
48
INFORMATION ABOUT THIS CHILD

TO ENSURE PROPER SIZES - THIS MUST BE ACCURATE

IF UNSURE - PLEASE LEAVE SIZING BLANK AND WE WILL CONTACT PARENTS
49
Child's Name* This field is required.
First Name
Last Name
50
Child's Sex* This field is required.For transgender children please answer this question by indicating the clothing preference.
Male
Female
51
School Child Attends* This field is required.
École Assomption Earlton
École Navigateurs
École Secondaire Catholique Ste. Marie
École St-Croix
École St-Michel
Elk Lake Public School
Englehart High School
Englehart Public School
English Catholic Central School (ECCS)
Holy Family Englehart
Kerns Public School
Kiwetin School (TFN)
New Liskeard Public School
St. Patrick School
Temagami Public School
Timiskaming District Elementary School
Timiskaming District Secondary School
Child is too young to attend school
Child is home schooled
52
Grade Child Attends* This field is required.
Preschool
JK
SK
1
2
3
4
5
6
7
8
9
10
53
Child's Date of Birth* This field is required.
Date
Year
Month
Day
54
Child's HeightApproximate is okay
55
Child's WeightApproximate is okay
56
Is there something unique about this child that will affect how we purchase his or her gifts? If yes, please give details.For example: Developmentally delayed, physical limitations, sensory issues, or gender identification.
57
GIRLS Pant Size
Size 2 (Child XS/S)
Size 3 (Child M)
Size 4 (Child L)
Size 5 (Child XL)
Size 6 (Child XXL)
Size 7 (Youth S)
Size 8 (Youth S)
Size 10 (Youth M)
Size 12 (Youth M) (Ladies Size 0-2) Waist 25"
Size 14 (Youth L) (Ladies XS or Size 4-6) Waist 26"
Size 16 (Youth L) (Ladies S or Size 8-10)Waist 28"
Size 18 (Youth XL) (Ladies M or Size 12-14) Waist 30"
Other - we will call to verify measurements
58
GIRLS Top Size
Size 2 (Child XS/S)
Size 3 (Child M)
Size 4 (Child L)
Size 5 (Child XL)
Size 6 (Child XXL)
Size 7 (Youth S)
Size 8 (Youth S)
Size 10 (Youth M)
Size 12 (Youth M) (Ladies Size 0-2) Chest 30"
Size 14 (Youth L) (Ladies XS or Size 4-6) Chest 32"
Size 16 (Youth L) (Ladies S or Size 8-10) Chest 34"
Size 18 (Youth XL) (Ladies M or Size 12-14) Chest 36"
Other - we will call to verify measurements
59
GIRLS Foot SizePlease indicate shoe size
Girls/Youth Size 6-12
Girls/Youth Size 13 TO Ladies Size 2
Ladies Size 3-6
Ladies Size 7-9
Ladies Size 10+
60
BOYS Pant Size
Size 2 (Child XS/S)
Size 3 (Child M)
Size 4 (Child L)
Size 5 (Child XL)
Size 6 (Child XXL)
Size 7 (Youth S)
Size 8 (Youth S)
Size 10 (Youth M)
Size 12 (Youth M) Waist 26"
Size 14 (Youth L) (Mens XS) Waist 28"
Size 16 (Youth L) (Mens S) Waist 30"
Size 18 (Youth XL) (Mens M) Waist 32"
Other - we will call to verify measurements
61
BOYS Top Size
Size 2 (Child XS/S)
Size 3 (Child M)
Size 4 (Child L)
Size 5 (Child XL)
Size 6 (Child XXL)
Size 7 (Youth S)
Size 8 (Youth S)
Size 10 (Youth M)
Size 12 (Youth M) Chest 30"
Size 14 (Youth L) (Mens XS) Chest 32"
Size 16 (Youth L) (Mens S) Chest 34"
Size 18 (Youth XL) (Mens M) Chest 36"
Other - we will call to verify measurements
62
BOYS Foot SizePlease indicate shoe size
Boys/Youth Size 6-12
Boys/Youth Size 13 TO Mens Size 2
Mens Size 3-6
Mens Size 7-9
Mens Size 10+
63
In addition to the child listed here, are you aware of any other child(ren) BORN IN THE YEARS 2005-2017 in this family? **** PLEASE NOTE *** If there is more than one child in this family - you need to complete a separate application for each child.* This field is required.
YES
NO
NOT SURE
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Thank you for taking time to complete this application.

Christmas Wish will contact families via email, whenever possible, if we have any questions.

Families will know if they've been accepted BEFORE DECEMBER 10TH.
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