Request edit access
GenLife Christmas Request Form
Christmas is a time for giving and we have personal items and toys along with a range of children's clothing  to bless others with. We request you complete the following questionnaire to ensure the recipients receive items that are useful and enjoyable. We will contact you when the packs are ready for pickup at one of our centres in Howlong, Holbrook, Gundagai and Leeton. Please note that some of these items may not be available at the time of submitting this form.
Sign in to Google to save your progress. Learn more
REQUESTED BY (type your full name and contact details so we can contact you for delivery) *
HOW DO YOU KNOW THE RECIPIENT/S
Clear selection
WHAT IS THE MAIN REASON FOR THIS REQUEST *
TELL US in a few sentences how this Christmas Pack will make a difference  (Donor requirement) *
Christmas Pack type *
FAMILY MAKEUP  tick a box for each family member
Adult
Teen12-16
Child 9-11
Child 6 - 8
Child 4 - 5
Child 2 -3
Baby 0 - 1
Male
Femaie
Boys
Girls
CLOTHING  children sizes
Size 0
Size 2-3
Size 4 -6
Size 8-10
Size 12-14
Size 16
Boys
Girls
ANY FURTHER RELEVANT INFORMATION
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Generation Life Church.

Does this form look suspicious? Report