Application for Christmas Care of Clay County

Application for Christmas Care of Clay County
Name of Parent or Guardian
Name of Parent or Guardian
First
Last
Street Address (and PO Box if applicable)
Street Address (and PO Box if applicable)
City
State/Province
Zip/Postal
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Hinton Center applies for grants and asks for the following information:

I understand and agree to the above and that Christmas Care of Clay County or its partnering individuals and agencies will not be held responsible for gifts received. Items received are supplemental and will not provide all wants and/or needs of the household. Christmas Care serves only Clay County and children who are 18 and under, and still living at home while in school. I understand that I will need to bring a form of ID with me when I come to shop or pick up (if you have concerns or questions, please let us know).
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