Needs and Wishes List

CONGRATULATIONS!

If you are reading this, you are an approved recipient for this year's Angels of Hope holiday gift-giving program. Please complete a SEPARATE Needs & Wishes List for EACH CHILD in the family, who live in the household, are under 18 years of age and were listed on your application.

NEEDS & WISHES LIST

* Indicates required field

Child's Full Name: *

First

Last

Child's Birthdate (MM/DD/YYYY): *

Child's Gender: *

CHILD'S CLOTHING SIZE (please specify Youth/Adult where applicable)

Shirts *

PANTS *

SHOES *

Child's Favorite Color *

GIFT #1 - NEEDS

Rank in order (up to 5 items), that the child really NEEDS. 1 would indicate the child needs this item the most.

Need # 1 *

Need # 2 *

Need # 3 *

Need # 4 *

NEED # 5 *

GIFT #2 - WISHES

What does the child wish to receive? Please list several items, of up to $25. Please do not request gift cards; only actual gifts. Things like XBox games are not helpful since they are not specific and may cost more than $25. Please be as descriptive as possible when requesting general items. *

Special instructions regarding gifts listed above or additional information about the child and his/her interests: *

Name of Person Completing this Form: *

First

Last

Phone Number *

Email *

By clicking Submit, you understand the above information will be shared with your Angel. As an applicant in the Angels of Hope holiday gift-giving program, I, for myself, my executor, administrators, and assigns do hereby release and discharge the American Cancer Society, Relay For Life, the event site, their management, their officers, members, sponsors, organizers, volunteers or their representatives, or their successors, and all cooperating businesses and organizations from all claims of damages, demands, actions, and causes whatsoever, in any manner arising or growing out of my participation in this program.

Submit