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Christmas Assistance​ Program

Submissions open September 1, 2022.  Please complete the fields below.  DEADLINE TO APPLY IS NOVEMBER 4, 2022.  All selected families will be notified by November 18, 2022.  For any questions please contact our office.   â€‹


 Christmas Assistance:  Gift(s) for each child and a food voucher or gift card towards Christmas dinner.

Name*

Phone*

Address*

Email Address

Marital Status*

Select an option

Spouse Name (If Applicable)

Number of Dependent Children in Household*

Each Child's Name / Birthday / Gender

Christmas Wish List

Brief reason you should be selected*

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