Holiday BLOC Blessing

Holiday BLOC Blessing Gift Giveaway

Application Form

Welcome!

Thank you for your interest in the Holiday BLOC Blessing Gift Giveaway. Please fill out this form to apply for gifts for your family. Follow the instructions carefully, and make sure you meet the criteria below before applying.

Who Can Apply?

Availability: You must be available on December 14th and 15th to receive gifts. There are no exceptions.
Income: Your family must meet the income requirements listed below. This is based on your net income (the amount you take home after taxes).
Children: You must have at least one child 18 or under.

Step 1: Family Information

Parent/Guardian First Name:

Parent/Guardian Last Name:

Phone Number:

Email Address (Please double-check for accuracy):

What City Do You Live In?

Number of Adults in Household (19 and older):

Number of Children in Household (18 and younger):

Total Monthly Household Income (Net amount you bring home):

Provide food boxes, gift cards, toys, hot meals and gifts for the entire family every Christmas holiday season in order to strengthen community foundations through acts of unconditional love that can be spread from one family to another.

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