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Welcome to the Town of North Kingstown, RI, Action Line
Today is Saturday, February 24, 2018.
Holiday Giving Gift Application and Children Wish List

Department of Social Services, Town of North Kingstown Telephone: 401-268-1579 Confidential Family Information.

To qualify for the Holiday Giving Program, you must be a resident of North Kingstown and have children 13 or under attending North Kingstown schools. We require proof of residence (a rent receipt, bank statement, something from your child's school or recent bill mailed to your address) proof of income (food stamp award letter, housing/lease agreement, or 2016 tax return), birth certificates for each child on wish list, and a photo ID. Application cannot be completed without proper documentation and an appointment. Please call 401-268-1579 to schedule your appointment.

For EACH of your children, please write down suggestions for TOYS, GAMES, OTHER GIFT IDEAS AND SPECIAL INTERESTS (for example, art, football, etc.), and any CLOTHING needed and sizes. NO VIDEO, COMPUTERS, IPADS, iPHONE, or ELECTRONIC DEVICES. RED *= REQUIRED FIELD

* Information is required.

Contact Information

* First Name:
* Last Name:
Email:
* Daytime Phone: (
* Address:
* City:
* State:
* ZIP:

* Parents DOB
 
Alternate Phone Number (Cell)
 
Mailing Address (If Different from Above)
 
* Total Number of Children:
 
* Our Combined Household Income
 
* Child 1 NAME:
 
* DOB and AGE (MM/DD/YYYY FORMAT)
 
* Gender:


 
School Attended:
 
* Does this Child need Clothing? YES or NO


 
* Write item and exact size:
 
* Write item and exact size:
 
* Ideas for gifts (Toys/Games/Interests)
 
* Ideas for gifts (Toys/Games/Interests)
 
Child 2 NAME:
 
DOB and Age (MM/DD/YYYY FORMAT)
 
Gender:


 
School Attended:
 
Does this Child need Clothing? YES or NO


 
Write item and exact size:
 
Write item and exact size:
 
Ideas for gifts (Toys/Games/Interests)
 
Ideas for gifts (Toys/Games/Interests)
 
Child 3 NAME:
 
DOB and Age (MM/DD/YYYY FORMAT)
 
Gender:


 
School Attended:
 
Does this Child need Clothing? YES or NO


 
Write item and exact size:
 
Write item and exact size:
 
Ideas for gifts (Toys/Games/Interests)
 
Ideas for gifts (Toys/Games/Interests)
 
Child 4 NAME:
 
DOB and Age (MM/DD/YYYY FORMAT)
 
Gender:


 
Does this Child need Clothing? YES or NO


 
Write item and exact size:
 
Write item and exact size:
 
Ideas for gifts (Toys/Games/Interests)
 
Ideas for gifts (Toys/Games/Interests)
 
* I have not applied to ANY OTHER organization, church, school, agency for assistance with the December Holidays.


 
* I understand that this application does not guarantee participation in this program.


 
* I realize that members of the community donate all items for the holiday giving programs and agree not to hold any agency responsible for the number of items I receive.


 
* I realize that providing false information will disqualify me from this program.


 
* I give permission to discuss my case with whomever necessary (this permission is granted for (6) six months from the sate of the application.


 
* By submitting this form you agree to all of the terms contained in this form. if you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.


 
Check here to have email confirmation of this submission.

* Information is required.

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