Schoharie County Christmas for Kids Application

Christmas for Kids

Name(Required)

First Last

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Number of Children in Household(Required)

Must be the parent or legal guardian

Name

First Last

Relationship

Age

Gender

Name

First Last

Relationship

Age

Gender

Name

First Last

Relationship

Age

Gender

Name

First Last

Relationship

Age

Gender

Name

First Last

Relationship

Age

Gender

Name

First Last

Relationship

Age

Gender

Additional Children

Please enter the first and last names of any additional children, their relationship to you, their ages, and their genders