Christmas Drive Application

We are delighted to open our 2022 Christmas Program. The application fee is $40 and we are accepting the first 50 applicants only. If you are interested in participating please complete and submit the following form. Fee can be paid via CashApp $CoressaHWilliams or via our store. (App. Fee is non-refundable.)

First Name

Last Name

Contact #

(###)

###

####

Email Address

Have you participated before?

Yes

No

Child 1

First Name

Last Name

Gender, Age, Clothing Size(s), 3 Reasonably priced gifts

Child 2

First Name

Last Name

Gender, Age, Clothing Size(s), 3 Reasonably priced gifts

Child 3

First Name

Last Name

Gender, Age, Clothing Size(s), 3 Reasonably priced gifts

Child 4

First Name

Last Name

Gender, Age, Clothing Size(s), 3 Reasonably priced gifts

Has your application fee been submitted?

Yes

No

Back Home