Clement's Christmas Wish - Nominate a Family
Clement Companies cares about our community and we want to make Christmas a bit brighter for a Waterford family in need by blessing them with groceries, clothing/winter gear, and of course toys for any kiddos.

If you know of a Waterford family that has fallen on hard times and could use a little help this holiday season, please fill out this form to nominate them for Clement's Christmas Wish. You may nominate more than one family, but please submit separate forms for each and do not nominate a family more than once. **Nominations must be submitted by midnight on 12/10/2020.

The Clement Companies team will select one family, at its own discretion, to receive this Christmas Wish. Once we've selected a recipient, we will call to notify you and to gather more information if needed. We'd like to keep this as a surprise to the family if possible.
Your Name (first and last): *
Your Email *
Your Phone Number *
Your City & State *
Your relationship to the Family you are nominating *
Last Name of the Family you are nominating *
Family's Street Address *
Family's City *
Family's Zip Code *
Please list the names and ages of each family member living in the household. *
Is the family receiving other assistance that you are aware of such as charities or fund raising pages? *
Please tell us why you are nominating this family. *
If you could give this family just one gift, what would it be and why?
How did you hear about this? *
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