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2025 Basket Intake Form
Your name has been submitted to receive a Christmas Basket this year! In order to ensure you are added to our list, kindly fill out the following information. Registration closes November 16th.
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Email
*
Your email
Recipient First Name
*
Your answer
Recipient Last Name
*
Your answer
Are you interested in a Christmas Basket?
*
Yes
No
Do you reside in the Illini Bluffs school district?
*
Yes
No
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