Hope For the Holidays

Giveaway:
Saturday, December 15, 2018
Time: TBA

* Indicates required field

Mom's Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mom's Age *

Mom's Clothing Size *

Mom's Shoe Size *

Mom's Favorite Color *

Number of Children *

Children's Full Names and Ages (Example: 1. John Doe, Age 4.) *

Children's Clothing and Shoe Sizes (Example: 1. Jane Doe, 2T Clothing, Children's 2 size shoe) *

Family's Favorite Foods *

Household Needs (Example: Laundry Detergent, Toilet Paper, etc.) *

Do you have a Christmas tree? *

Yes No

If not, do you want a Christmas tree? *

Yes No

Christmas Wish List Items For Mom *

Christmas Wish List Items for the Children *

Additional Information *

Submit