Taylorsville Lions Club Angel Tree Application
Application deadline is no later than 7 NOVEMBER 2018

Fill out ONE form per child, with a new Referral Code you got from your agent

If you have additional children who are not in school, please make the referral agent aware
You will receive an email or telephone call when your child’s package is ready to pick up at the Lion’s Club Fairgrounds

For Questions please contact the Taylorsville Lions Club at 828-632-2226 or email alexanderangeltreetlc@gmail.com

Email address *
Referral Number *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Address *
Your answer
Phone number *
Your answer
Alternate phone number
Your answer
All children must be ages 0-15, an Alexander County resident and must be referred by a participating agency.
Child’s First Name *
Your answer
Child's Middle Name *
Your answer
Child's Last Name *
Your answer
AGE *
Your answer
Boy / Girl *
Grade *
Your answer
Current Daycare/School/Home school/NA *
Your answer
Please indicate infant/toddler, boys/girls, jr/young men’s, or adult sizes
Shoe Size *
Your answer
Shirt Size *
Pants Size *
Items Needed (i.e.: coat, undergarments, etc.) *
Your answer
Special Toy Request (under $20.00) *
Your answer
Special Interests / Favorite Colors *
Your answer
By submitting this form I am stating that I have not applied for Christmas assistance with any other agency and that Angel Tree of Alexander County will verify with other agencies that I am not receiving additional assistance for Christmas. I am also stating that all the information listed is correct to the best of my knowledge and I attest to the fact that my family qualifies for assistance based upon economic hardship. I understand that I will receive a letter in November advising if I will be receiving assistance from Angel Tree of Alexander County and what day and time I should pick up my items.
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