2022 Holiday Helping Hands Registration

Holiday Helping Hands Registration

- Step 1 of 7

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Preferred Contact Method

Email
Text
Phone

Preferred Pick-Up Date/Time? Choose one... *

Monday 12/19, 6:00pm-7:00pm
Monday 12/19, 7:00pm-8:00pm

**All Sunday times slots are filled. Please email if you have a date/time conflict.

Have you enrolled or participated in another gift assistance program this year? *

Which gift assistance program have you participated in? *

Plateau Outreach Ministries (POM) "Giving Tree"
Plateau Community Church "Christmas Gift Charity" (Formerly Summit Church)
Black Diamond Community Center "Share the Joy"
Other

Number of Adults in Household (18+) *

Number of Children in household *

*If you have more than 6 children living in your household, please finish this registration and then email us at plateaukidsnetwork@gmail.com and we will be happy to assist you.

How did you hear about us?

Enrollment Letter
Social Media
Website
Friend
Other

Terms of Agreement: *

I understand the Terms of Agreement.

By submitting this registration application, you give Plateau Kids Network the right to use your above demographic information for the purpose of sustaining local Christmas charities. Your information will not be publicly published or sold. All personal information that we receive on children (minors) will remain protected and private.

*Holiday Helping Hands will be shopping for all families. The information you provide for your children will help us choose gifts for your child(ren).

Child Number One Info

The information you provide below will allow us to choose appropriate gifts. Please give us as detailed information as possible. Do not put child's last name on this form. This information will only be used by Plateau Kids Network to choose gifts and will remain protected, private and will not be shared. *We cannot guarantee specific gift requests will be provided.

Child's First Name *

Gender *

Female
Male

Child's Age? *

Child's Favorite Colors *

Child's Favorite Animals *

Favorite School Subject *

Favorite Food *

Favorite kind of Music

Favorite kind of Books *

Favorite Superhero or Fictional Character

Child's Interests *

Favorite hobbies, activities, sports, past times, etc.

Shirt Size

Please indicate "Youth" or "Adult" sizes.

Pants Size

Please indicate "Youth" or "Adult" sizes.

Shoe Size

Please indicate "Youth" or "Adult" sizes. If adult size shoes, please indicate "men's" or "women's".

Is there anything else we should know about your child? *

Something to add-special needs, allergies, etc.

Child Number Two Info

Child's First Name *

Gender *

Female
Male

Child's Age? *

Child's Favorite Colors *

Child's Favorite Animal

Favorite School Subject *

Favorite Food *

Favorite kind of Music

Favorite kind of Books *

Favorite Superhero or Fictional Character

Child's Interests *

Favorite hobbies, activities, sports, etc.

Shirt Size

Please indicate "Youth" or "Adult" sizes.

Pants Size

Please indicate "Youth" or "Adult" sizes.

Shoe Size

Please indicate "Youth" or "Adult" sizes. If adult size shoes, please indicate "men's" or "women's".

Is there anything else we should know about your child? *

Something to add, special needs, allergies, etc.

Child Number Three Info

Child's First Name *

Gender *

Female
Male

Child's Age? *

Child's Favorite Colors *

Child's Favorite Animal

Favorite School Subject *

Favorite Food *

Favorite kind of Music

Favorite kind of Books *

Favorite Superhero or Fictional Character

Child's Interests *

Favorite hobbies, activities, sports, etc.

Shirt Size

Please indicate "Youth" or "Adult" sizes.

Pants Size

Please indicate "Youth" or "Adult" sizes.

Shoe Size

Please indicate "Youth" or "Adult" sizes. If adult size shoes, please indicate "men's" or "women's".

Is there anything else we should know about your child? *

Something to add, special needs, allergies, etc.

Child Number Four Info

Child's First Name *

Gender *

Female
Male

Child's Age? *

Child's Favorite Colors *

Child's Favorite Animal

Favorite School Subject *

Favorite Food

Favorite kind of Music

Favorite kind of Books *

Favorite Superhero or Fictional Character

Child's Interests *

Favorite hobbies, activities, sports, etc.

Shirt Size

Please indicate "Youth" or "Adult" sizes.

Pants Size

Please indicate "Youth" or "Adult" sizes.

Shoe Size

Please indicate "Youth" or "Adult" sizes. If adult size shoes, please indicate "men's" or "women's".

Is there anything else we should know about your child? *

Something to add, special needs, allergies, etc.

Child Number Five Info

Child's FIrst Name *

Gender *

Female
Male

Child's Age? *

Child's Favorite Colors *

Child's Favorite Animal

Favorite School Subject *

Favorite Food

Favorite kind of Music

Favorite kind of Books *

Favorite Superhero or Fictional Character

Child's Interests *

Favorite hobbies, activities, sports, etc.

Shirt Size

Please indicate "Youth" or "Adult" sizes.

Pants Size

Please indicate "Youth" or "Adult" sizes.

Shoe Size

Please indicate "Youth" or "Adult" sizes. If adult size shoes, please indicate "men's" or "women's".

Is there anything else we should know about your child?

Something to add, special needs, allergies, etc.

Child Number Six Info

Child's First Name *

Gender *

Female
Male

Child's Age? *

Child's Favorite Colors *

Child's Favorite Animal

Favorite School Subject *

Favorite Food

Favorite kind of Music

Favorite kind of Books *

Favorite Superhero or Fictional Character

Child's Interests *

Favorite hobbies, activities, sports, etc.

Shirt Size

Please indicate "Youth" or "Adult" sizes.

Pants Size

Please indicate "Youth" or "Adult" sizes.

Shoe Size

Please indicate "Youth" or "Adult" sizes. If adult size shoes, please indicate "men's" or "women's".

Is there anything else we should know about your child?

Something to add, special needs, allergies, etc.