Registrations

Please Provide: Valid ID, Proof of Income, Proof of the age of the child, and proof you are the parent or legal guardian.

Christmas Shop 2026

Please complete all required fields below.

Have you applied for or received any assistance from another organization?

YesNo

Household Information

Head of Household *

Date of Birth

Spouse Name

Spouse Date of Birth

Phone *

Work Phone

Email *

Address

City

Zip Code

Children

Note: Please list accurate clothing and shoe sizes. You will not be able to change sizes upon arrival.

Child 1

Child Name

M/F

Relations

DOB

Age

Tops Category *

Tops Size

Bottoms Category *

Bottoms Size

Shoe Category *

Shoe Size

Bra Size (if applicable)

Do you have custody of this child? *

Proof of guardianship is required. Please upload documentation in the Proof of Documents section below.

YesNo

Monthly Income

Monthly Job Income

Employer's Name

Disability Income

SSI Income

TANF

Child Support

Unemployment

Other

Proof of Documents

Please upload copies of: Valid ID, Proof of Income, Proof of child's age, and Proof of guardianship. Accepted formats: JPG, PNG, PDF (max 10MB each, up to 5 files).

Click to upload or drag and drop files here

Up to 5 files

Additional Information

Referred By

Additional Notes

Any special needs, allergies, questions, or other information we should know.

Teen Gift Ideas / Wishlist (for teens 13 and older)

Teens are the hardest to shop for! If you have any teens in your household, please share what kinds of things they would enjoy — hobbies, interests, clothing styles, specific items, etc. This helps us make sure they get something they'll love.

All the information I have provided is true and correct to the best of my knowledge.