Inspire Family Empowerment Holiday Toy Drive

Welcome! We're honored to support your family this holiday season. Please fill out this form to register for our holiday toy drive on. All information is kept confidential and responses are honor-based.

Assistance is NOT guaranteed. Distribution date TBA.

AGES 5 AND UP

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Email Address

Home Address

Country/Region

Address

City

Zip / Postal code

Preferred Contact Method

Text message

Household Information

Are you the legal parent or guardian of the children listed?

Yes

Is your household currently experiencing financial hardship?

Yes

Have you received holiday assistance from another organization this year?

Yes

Are you currently receiving any of the following assistance programs?

Child Information

Please provide information for each child (maximum 4 children).

AGES 5 AND UP.

Start with Child 1 below.

Child 1

Child's First Name

Child's Age

Child's Date of Birth

Month

Day

Year

Toy Interests or Preferences

Do you have another child you are requesting toys for?

Yes

Child 2

Child's First Name

Child's Age

Child's Date of Birth

Month

Day

Year

Toy Interests or Preferences

Do you have another child you are requesting toys for?

Yes

Child 3

Child's First Name

Child's Age

Child's Date of Birth

Month

Day

Year

Toy Interests or Preferences

Do you have another child you are requesting toys for?

Yes

Child's First Name

Child's Age

Child's Date of Birth

Month

Day

Year

Toy Interests or Preferences

Event Attendance

Will you be able to attend the toy drive on December 22nd between 3PM–6PM?

Yes

Acknowledgements & Consent

I confirm that the information provided is accurate to the best of my knowledge

I understand that toy availability is based on donations and cannot be guaranteed

I understand participation is limited to one set of gifts per child

I give permission for Inspire Family Empowerment to take and use photos during the event for promotional purposes (Pictures will be taken we cannot control who is in them

Additional Notes

Additional Information

Inspire Family Empowerment Holiday Toy Drive

Assistance is NOT guaranteed. Distribution date TBA.

AGES 5 AND UP

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Home Address

Country/Region

Address

City

Zip / Postal code

Preferred Contact Method

Text message

Household Information

Are you the legal parent or guardian of the children listed?

Yes

Is your household currently experiencing financial hardship?

Yes

Have you received holiday assistance from another organization this year?

Yes

Are you currently receiving any of the following assistance programs?

Child Information

Please provide information for each child (maximum 4 children).

AGES 5 AND UP.

Start with Child 1 below.

Child's Date of Birth

Month

Day

Year

Toy Interests or Preferences

Do you have another child you are requesting toys for?

Yes

Child's Date of Birth

Month

Day

Year

Toy Interests or Preferences

Do you have another child you are requesting toys for?

Yes

Child's Date of Birth

Month

Day

Year

Toy Interests or Preferences

Do you have another child you are requesting toys for?

Yes

Child 4 - Maximum reached

Child's Date of Birth

Month

Day

Year

Toy Interests or Preferences

Will you be able to attend the toy drive on December 22nd between 3PM–6PM?

Yes

Acknowledgements & Consent

I confirm that the information provided is accurate to the best of my knowledge

I understand that toy availability is based on donations and cannot be guaranteed

I understand participation is limited to one set of gifts per child

I give permission for Inspire Family Empowerment to take and use photos during the event for promotional purposes (Pictures will be taken we cannot control who is in them

Additional Information