Application for Giving Tree & Food Box

This application is for both the Holiday Giving Tree and Food Box.

Please read this application in its entirety before submitting it.
To be eligible for this program you must be a current Crooked River Ranch resident.
If only requesting a food box, only fill out the first 8 lines of the application
If you are selected: you will be contacted by email confirming your selection for the program
You must select a pick-up time on Monday, December 21st.
Applications received after Thursday, November 19th at 5:00 pm, may not be accepted.

Directions for Application for Giving Tree & Food Box

You must list the age, gender, two needs, and one want per listed family member.
Members include adults.
If clothing list size and favorite color must be indicated in the request.
Example 80-year-old woman. Needs: blanket (favorite color brown or tan), warm scarf (red). Wants: new playing cards.

Name of Person Requesting Food/Needs (required)

Do you want a holiday food box? (required)

Do you have any food allergies? (required)

If you answered "Yes" above please list food allergies here.

Family Name (if different)

Address of Family (required)

Phone Number for Family (required)

Email Address for Family (required)

Number of Adults (required)

Number of Children (0-17) (required)

Age

Gender

Needs

Wants

Age

Gender

Needs

Wants

Age

Gender

Needs

Wants

Age

Gender

Needs

Wants

Age

Gender

Needs

Wants

Age

Gender

Needs

Wants

If additional space for family members is needed please use this field to provide the individuals information as seen above.

I hereby certify the above information is true and give my permission to have my contact information and my families contact information given to the organizations for the purpose of obtaining a food box and gifts. I understand that by completing and submitting this application DOES NOT guarantee that I will receive a food box or gifts requested. (required)

I agree

Select your preferred pickup time on December 21st (required)

9:00-11:00 AM on December 21st

3:00-6:00 PM on December 21st

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