2024 Nominated Family Info Form

We are excited to be able to share with you the joy of giving this holiday season!

Fields that are required have an asterisk (*) beside them, but we encourage you to provide us as much information as possible.

Your Christmas Angels admin has assigned you a Family Number. It is important that you put that number at the top of this form - it is how we will identify your family on shopping day to preserve your anonymity. We want to make sure the correct items are delivered to your family!

Christmas Angels Recipient Questions 2024

Family Number:

Head of Household #1 (HOH1) Name:

Head of Household #2 (HOH2) Name:

Address

City/State/ZIP

HOH1 Email:

HOH2 Email:

HOH1 Phone:

HOH2 Phone:

Total # of immediate family members living in the home:

How Many Are Under 18?

In the event we can't reach you to schedule your delivery, please list the name and phone number of an emergency contact:

Child #1 Name (First Name Only), Age, and Gender (M/F)

Child #1: Please list three "wants" (aka wish list/Santa list items). If any of these items are clothing, please include the size/color/style they prefer and wear.

Child #1: Please list three "needs" - items this child is truly in need of. If any of these items are clothing, please include the size/color/style they prefer and wear.

Child #2 Name (First Name Only), Age, and Gender (M/F)

Child #2: Please list three "wants" (aka wish list/Santa list items). If any of these items are clothing, please include the size/color/style they prefer and wear.

Child #2: Please list three "needs" - items this child is truly in need of. If any of these items are clothing, please include the size/color/style they prefer and wear.

Child #3 Name (First Name Only), Age, and Gender (M/F)

Child #3: Please list three "wants" (aka wish list/Santa list items). If any of these items are clothing, please include the size/color/style they prefer and wear.

Child #3: Please list three "needs" - items this child is truly in need of. If any of these items are clothing, please include the size/color/style they prefer and wear.

Child #4 Name (First Name Only), Age, and Gender (M/F)

Child #4: Please list three "wants" (aka wish list/Santa list items). If any of these items are clothing, please include the size/color/style they prefer and wear.

Child #4: Please list three "needs" - items this child is truly in need of. If any of these items are clothing, please include the size/color/style they prefer and wear.

Please list one 'family' need. This should be something that will benefit the household as a whole.

We will also provide to your family groceries to cook a full Christmas Dinner. Please indicate your family's choice of meat below:

Ham

Turkey

Is there any other important information you'd like to share with us about your family?

DISCLAIMERS:

I/We understand that our personal information will be kept anonymous, and that only select Christmas Angels admins are able to see our personal information. Under no circumstance will our personal information be shared with any outside source.

I/We acknowledge that Christmas Angels is a 501(c)(3) non-profit charity, and as such is not obligated to provide or donate every item requested on this form. I/We understand that they will provide one item from each child's "want" and "need" section, and that more items may be donated if resources are available.

I/We understand that by accepting these gifts, there is no obligation to Christmas Angels or any other entity, and that we accept these gifts "as-is", and understand they cannot be returned or exchanged for other items or cash refunds.