This season we are committed to helping make Christmas bright for families who need it most throughout the Chicagoland area. All entries will be reviewed by our team and you will be contacted if your family has been chosen. Due to the volume of requests received, phone call entries or inquiries will not be accepted.
Please complete the form below for the family who is in need this Christmas...
LAST NAME
First Name
Phone #
Email Address
Address
City
ST
Please share with us your story and how you or the family you are recommending could benefit from this initiative...
# of Boys
in Household
# of Girls
in Household
Ages of Boys
Ages of Girls
# of Adult Females
in Household
# of Adult Males
in Household
TOTAL # OF
PEOPLE IN HOME
PLEASE NOTE:
All entries received must meet the ELIGIBILITY REQUIREMENTS to be considered for this initiative. Submission of your story DOES NOT guarantee that you will be chosen. Families chosen will be based upon their need.
NAME OF PERSON COMPLETING THIS FORM
Phone # of person completing this form
If you or the family you are writing about is chosen for this initiative, do you have transportation to come and pick-up your Christmas gifts?
If you need transportation, what is the pick-up address? Please list the full address including, house #, street, city and state (i.e., 123 Main Street, Apt. #2, Chicago, IL 60616
