Youth Justice Coalition & Pride In Truth's                  Holiday Toy Drive Registry
Welcome to The Holiday Toy Drive Registry.  Please register by answering the following questions before Dec 15th 2022.
We Look forward to a wonderful day of festivity on Dec 17th 2022.
Bienvenidos a el registro para el evento de navidad. Porfavor registre a niños y ninas en este formulario para nuestro evento de festividad el Deciembre 17, 2022.
El ultimo dia para registrar a niños y niñas, sera Deciembre 15, 2022
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Email *
Which of these YJC services or campaign are you interested in? (Check all that apply)
Parent Name/Nombre de Padre o Madre  *
Phone Number/ Numero de Telefono *
Household Size/Tamano de hoar *
Zipcode /Codigo Postal *
How many children will be registered?  Please write their Name, age, and gender/Cuanto ninos se registraran? por favor escriba su nombre, edad y sexo? *
what is your ethnicity? Cual es tu Etnia? *
Which system has your family been impacted by?/ Que systema ha afectado su familia? *
A copy of your responses will be emailed to the address you provided.
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