Christmas Registration

Time is running out! Registration for our Christmas Toy Program closes December 2nd, 2020. To register, please complete the following Christmas Registration Form. 

    Only the first 700 families to register will be eligible to receive toys.
    Any additional families will have to refer to other agencies for assistance.



    Mother's Information

    Mother's Full Name
    Date of Birth (DD-MM-YYYY)
    Address
    Phone #
    Email
    Income
    Source Of Income


    Father's Information

    Father's Full Name
    Date of Birth (DD-MM-YYYY)
    Address
    Phone #
    Email
    Income
    Source Of Income



    Children's Information

    Children must be 16 and under

    Child's Name (First / Last)
    Date of Birth (DD-MM-YYYY)
    Gender




    Please read and acknowledge

    • Missed appointments will not be rescheduled
    • Please be prepared to wait outside
    • One parent or guardian of the child to pick up
    • Please arrive promptly at the scheduled time wearing a face mask
    • Maintain social distancing
    • ID required for custody parent or guardian
    • Current Region of Durham Covid-19 procedures in place

    I have read and I agree to the aboveNo, I do not agree

    You will be contacted with a pick up date and time by email only.