2021 Christmas Assistance Request Form
Hello! Please fill out all required areas with the information requested. This is so we can best serve you and your family this holiday season. All families will receive a basket of food for Christmas Dinner along with gift cards for children's gifts and other small gifts provided by St. Francis of Assisi parishioners. If you have any questions, please do not hesitate to reach out to Sara at socialjustice.sfa@gmail.com
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Name *
Address *
Zipcode *
Phone Number (You MUST provide a phone number where someone can reach you or leave a message you will recieve) *
Email
Number of CHILDREN (15 & younger) in the household *
Number of ADULTS (16 & older) in the household *
In addition to a basket of food, St. Francis parishioners will also provide hats/gloves and socks wherever possible We may be able to provide additional support for families, based on need. The information below is a guide for parishioners who may be able to provide assistance. We cannot provide for your entire holiday, but we hope to assist you in providing for your family.
For Children 15 & Younger, we can provide ONE clothing item (socks, hat/gloves) and a FAMILY gift card (Pick from Target, Walmart, Giant, Aldi).
CHILDREN: 15 and younger. Please list each child with their name, gender, age, adult or child size, color. Please list family gift card choice (Target, Walmart, Giant, Aldi). *
SENIORS: Anyone over 65. (We will try to secure a small gift card for our seniors). Please list each senior with their name, gender, and age. *
ADULTS: Ages 16-64. Please list each adult with their name, gender, and age. *
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