Christmas Application

Please note this does not guarantee assistance. You will receive a call from us if we are able to help connect you with a local church that is assisting this holiday season. Thank you and God bless.

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

How many adults are in your household?

How many children are in your household?

Mothers name and wish list if applicable: $35 dollar limit. Be sure to include clothing and shoe sizes

Fathers name and wish list if applicable: $35 dollar limit. Be sure to include clothing and shoe sizes

Child 1 name, gender, and date of birth

Child 1 wish list: $35 dollar limit. Be sure to include clothing and shoe sizes

Child 2 name, gender, and date of birth

Child 2 wish list: $35 dollar limit. Be sure to include clothing and shoe sizes

Child 3 name, gender, and date of birth

Child 3 wish list: $35 dollar limit. Be sure to include clothing and shoe sizes

Child 4 name, gender, and date of birth

Child 4 wish list: $35 dollar limit. Be sure to include clothing and shoe sizes

Child 5 name, gender, and date of birth

Child 5 wish list: $35 dollar limit. Be sure to include clothing and shoe sizes

If Bridges is able to set you up with assistance, please note gifts would need to be picked up by you or a predesignated person at the local church's destination of choice. By acknowledging you are committing to showing up at your designated time.

Yes, I acknowledge

No thank you I do not wish to proceed