2022 Christmas for Lanier Kids
Application Deadline is Friday, November 18th, 2022
For children ages birth - 12 yrs old

Each child will receive up to 3 items. C4LK should be used in addition to what you and your family plan to provide to your children for Christmas. Due to limited resources, we CANNOT guarantee that your family will receive assistance. Anyone who provides false information will be denied!
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Name of Parent/Guardian:  *
Address   *
Phone Number *
Email Address
Child1 Age  *
Child #1 First & Last Name   *
male *
Child #1 Race *
Child #1 Interest    *
Required
Child #2 First & Last Name  
7 years old
Child #2 Gender
Clear selection
Child #2 Race
Clear selection
Child #2 Interest Dolls, Books
Child #3 First & Last Name
Child #3 Age
Child #3 Gender
Clear selection
Child #3 Race
Clear selection
Child #3 Interest
Child #4 First & Last Name
Child #4 Age
Child #4 Gender
Clear selection
Child #4 Race
Clear selection
Child #4 Interest
Do you have more than 4 children under the age of 12?
Clear selection
If you answered yes to the question above. Please leave a name and good contact number so we can call you to get more information.
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