Thanks for participating in the Winter Wishes program!
Please complete this form. Once you are matched with a local child in need, you will receive their wish list, name, age, gender, and any additional information we have to guide your shopping trip no later than Monday, November 20th.

We will do our best to match you with a child according to your specific requests, however the program is first-come first-serve in an effort to ensure every child's needs are met.

Once again, thank you for your generosity and sponsoring a local child in need this holiday season!

First Name *
Your answer
Last Name *
Your answer
Are you a(n)... *
HSU Department - If on campus
Your answer
Email *
Your answer
Phone *
Please be a number we can reach you at during the day time.
Your answer
Preferred form of communication?
Shopping preferences (if any):
Indicate what age, types of items, etc. you would like to shop for (Some examples shared in the past include bikes and gift cards)
Your answer
Would you be willing to buy a bike and helmet this year?
How many children would you like to sponsor? *
Required
I will be sponsoring: *
Required
If sponsoring with a group, what group? (Ex. Department name, Club name, Athletic Team name etc.)
Your answer
Interested in being a last minute sponsor?
Last minute sponsors will be contacted to help sponsor any child who joins after Friday December 8th, 2017
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