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Toy Registration
Pick up date: December 22nd
Time: 12pm - 3pm
Place: Freedom of Grace Church
Address: 5874 Sutton Drive, Douglasville, GA 30135

(You MUST be present to receive toys)

***** If you cannot pickup on this date and time alloted....Please do not submit this registration!!

You must bring: Child(ren), Birth Certificates for each child, Proof of Income (Paystub, Recent TANF Letter), Photo ID (Parent of Legal Guardian)

Email address *
Name of Head of Household/Pick up person (Must have valid ID) *
Your answer
Head of Household? *
Address *
Your answer
Referred by school/Agency *
Name of referral School/Counselor/Agency (N/A) if not referred by School Counselor, Social Worker or an Agency *
Your answer
Code given by counselor, Social Worker, Agency *
Your answer
Source(s) of household income? *
Your answer
Does your household receive food stamps? *
Required
Amount of Household Income *
Your answer
Number of people in household *
Your answer
Number of children under age 12 *
Your answer
Full name (First, middle, last), age, sex (boy/girl) of children under 12 *
Your answer
Specific gift request with child name (Based on toys available) ex.. Mark - Car *
Your answer
A copy of your responses will be emailed to the address you provided.
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