2017 application
2017 APPLICATION Applications due to Goddard Schools by
Friday, November 10, 2017. Approved applicants receive food for both Thanksgiving and Christmas as well as Christmas gifts for children in Goddard. School District ages 15 & under.
Distribution will be at the Goddard United Methodist Church, 300 N. Cedar, Goddard THANKSGIVING FOOD: Sat., Nov. 18 from 9 -11:00 AM Distribution will be at Apollo Elementary School, 16158 W. Apollo St. CHRISTMAS FOOD & GIFTS: Sun., Dec. 17 from 1:00 – 4:00 PM All recipients are responsible for picking up their items during the distribution period.
The expectation is that all students need at least one complete set of clothing. Applicants must state sizes for clothing to be accepted. Coats are optional if needed. Electronic systems and bicycles are not included as items we collect. I, ________________________________, the parent or legal guardian, of the children listed below approve the Goddard Mitten Tree Committee having access to the below information to get gifts and food for these children. I also affirm that the information below and clothing sizes listed are accurate. as
Parent or Guardian Signature ____________________________________________________________________
Date_______________________________
Head of Household:
Total Number in Householder:
Address:
Email:
Phone:
Alternate Phone:
Child’s Name: ____________________________________________________________________ Goddard School Child Attends: _____________________________________________________ Toy/Gift Ideas (1-2 items): __________________________________________________________ Child’s Favorite Color: _____________________________________________________________ Other Info: _______________________________________________________________________________ Child’s Name: ____________________________________________________________________ Goddard School Child Attends: _____________________________________________________ Toy/Gift Ideas (1-2 items): __________________________________________________________ Child’s Favorite Color: ____________________________________________________________ _ Other Info: _______________________________________________________________________________ Child’s Name: ____________________________________________________________________ Goddard School Child Attends: _____________________________________________________ Toy/Gift Ideas (1-2 items): __________________________________________________________ Child’s Favorite Color: _____________________________________________________________ Other Info: _______________________________________________________________________________
Pickup Times: SAT. 11/18: _________ SUN. 12/17: ________ Age: __________ Gender: Boy / Girl Check the following and indicate sizes: Please provide accurate clothing sizes! Socks, Size: _______ Underwear, Size ____ Child Adultor Adult (circle 1) Shirt, Size: _______ Coat, Size: _______ Please circle one - Men Girls
Ladies
Boys
Men’s
Please circle one - Men Girls Ladies
Boys
Men’s
Pants, Size: _______ Age: __________ Gender: Boy / Girl Check the following and indicate sizes: Please provide accurate clothing sizes! Socks, Size: _______ Underwear, Size ____ Child or Adult (circle 1) Adult Shirt, Size: _______ Coat, Size: _______ Please circle one - Men Girls
Ladies
Boys
Men’s
Please circle one - Girls Girls Ladies
Boys
Men’s
Pants, Size: _______ Age: __________ Gender: Boy / Girl Check the following and indicate sizes: Please provide accurate clothing sizes! Socks, Size: _______ Underwear, Size ____ Child or Adult (circle 1) Adult Shirt, Size: _______ Coat, Size: _______ Please circle one - Men Girls Ladies
Goddard School Child Attends: _____________________________________________________ Toy/Gift Ideas (1-2 items): __________________________________________________________ Child’s Favorite Color: _____________________________________________________________ Other Info: _______________________________________________________________________________
Men’s
Boys
Men’s
Pants, Size: _______ Please circle one - Men Girls Ladies
Child’s Name: ____________________________________________________________________
Boys
Age: __________ Gender: Boy / Girl Check the following and indicate sizes: Please provide accurate clothing sizes! Socks, Size: _______ Underwear, Size ____ Child or Adult (circle 1) Adult Shirt, Size: _______ Coat, Size: _______ Please circle one - Men Girls Ladies
Boys
Men’s
Boys
Men’s
Pants, Size: _______ Please circle one - Men Girls Ladies
Please use a second application for additional names. Do not write on back of this application.
Friday, November 10, 2017. Approved applicants receive food for both Thanksgiving and Christmas as well as Christmas gifts for children in Goddard. School District ages 15 & under.
Distribution will be at the Goddard United Methodist Church, 300 N. Cedar, Goddard THANKSGIVING FOOD: Sat., Nov. 18 from 9 -11:00 AM Distribution will be at Apollo Elementary School, 16158 W. Apollo St. CHRISTMAS FOOD & GIFTS: Sun., Dec. 17 from 1:00 – 4:00 PM All recipients are responsible for picking up their items during the distribution period.
The expectation is that all students need at least one complete set of clothing. Applicants must state sizes for clothing to be accepted. Coats are optional if needed. Electronic systems and bicycles are not included as items we collect. I, ________________________________, the parent or legal guardian, of the children listed below approve the Goddard Mitten Tree Committee having access to the below information to get gifts and food for these children. I also affirm that the information below and clothing sizes listed are accurate. as
Parent or Guardian Signature ____________________________________________________________________
Date_______________________________
Head of Household:
Total Number in Householder:
Address:
Email:
Phone:
Alternate Phone:
Child’s Name: ____________________________________________________________________ Goddard School Child Attends: _____________________________________________________ Toy/Gift Ideas (1-2 items): __________________________________________________________ Child’s Favorite Color: _____________________________________________________________ Other Info: _______________________________________________________________________________ Child’s Name: ____________________________________________________________________ Goddard School Child Attends: _____________________________________________________ Toy/Gift Ideas (1-2 items): __________________________________________________________ Child’s Favorite Color: ____________________________________________________________ _ Other Info: _______________________________________________________________________________ Child’s Name: ____________________________________________________________________ Goddard School Child Attends: _____________________________________________________ Toy/Gift Ideas (1-2 items): __________________________________________________________ Child’s Favorite Color: _____________________________________________________________ Other Info: _______________________________________________________________________________
Pickup Times: SAT. 11/18: _________ SUN. 12/17: ________ Age: __________ Gender: Boy / Girl Check the following and indicate sizes: Please provide accurate clothing sizes! Socks, Size: _______ Underwear, Size ____ Child Adultor Adult (circle 1) Shirt, Size: _______ Coat, Size: _______ Please circle one - Men Girls
Ladies
Boys
Men’s
Please circle one - Men Girls Ladies
Boys
Men’s
Pants, Size: _______ Age: __________ Gender: Boy / Girl Check the following and indicate sizes: Please provide accurate clothing sizes! Socks, Size: _______ Underwear, Size ____ Child or Adult (circle 1) Adult Shirt, Size: _______ Coat, Size: _______ Please circle one - Men Girls
Ladies
Boys
Men’s
Please circle one - Girls Girls Ladies
Boys
Men’s
Pants, Size: _______ Age: __________ Gender: Boy / Girl Check the following and indicate sizes: Please provide accurate clothing sizes! Socks, Size: _______ Underwear, Size ____ Child or Adult (circle 1) Adult Shirt, Size: _______ Coat, Size: _______ Please circle one - Men Girls Ladies
Goddard School Child Attends: _____________________________________________________ Toy/Gift Ideas (1-2 items): __________________________________________________________ Child’s Favorite Color: _____________________________________________________________ Other Info: _______________________________________________________________________________
Men’s
Boys
Men’s
Pants, Size: _______ Please circle one - Men Girls Ladies
Child’s Name: ____________________________________________________________________
Boys
Age: __________ Gender: Boy / Girl Check the following and indicate sizes: Please provide accurate clothing sizes! Socks, Size: _______ Underwear, Size ____ Child or Adult (circle 1) Adult Shirt, Size: _______ Coat, Size: _______ Please circle one - Men Girls Ladies
Boys
Men’s
Boys
Men’s
Pants, Size: _______ Please circle one - Men Girls Ladies
Please use a second application for additional names. Do not write on back of this application.
