Request edit access
2020 OPERATION CHRISTMAS CHILD Shoebox drive survey
Holiday season is coming and we, a group of middle school students, will participate in Operation Christmas Child where we pack gifts in a shoebox and deliver it to children in need to share a great joy across the world. This is our second year as members of the Lapis Lazuli Art Club and we hope to reach our goal of twenty packed shoeboxes for boys and girls from ages 2-4, 5-9, 10-14. We would like welcome any family to join us to donate and bring the joy to the children in need.
Sign in to Google to save your progress. Learn more
Child Name *
Email Address *
Phone number *
Tell us how you like to participate (we will email you detail address after receive your sign up) *
If you are choosing option 1 and 2, below items are recommended (Note:  please do not include toothpaste, food, liquid, cream, sharp stuff, electronic toy)
Option 3 cont: Gender(Boy/Girl) Age Group(2-4, 5-9, 10-14) *
Required
How you would like to deliver your donation *
PHOTO RELEASE FOR MINOR (UNDER 18):                                              I hereby grant permission to LAPIS LAZULI CLUB representatives, to take and use: photographs and/or digital images of my child for use in news releases and/or educational materials as follows: printed publications or materials, electronic publications, or Web sites. I agree that my child’s name and identity: may be revealed in descriptive text or commentary in connection with the image(s). I authorize the use of these images without compensation to me. All negatives, prints, digital reproductions and shall be the property of LAPIS LAZULI CLUB. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report