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Family Info (required)

Please read:

1. Completion of this application does not automatically guarantee that your family will be selected.

2. This assistance program is designed to supplement your Holiday needs and not be a complete substitution.

3. You will be contacted by phone to confirm your application status. You must be available at your residence for home delivery on the morning of Saturday December 17. We will NOT leave food & toys on doorstep.

Thank you and Happy Holidays!

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