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Christmas Application

Five short steps, about 10 minutes. Have your children’s ages and your address handy. Fields marked with an asterisk are required.

1

About you

The adult applying for the family.

First name *
Last name *
Your age *
Email *

We use this to reach you about your appointment.

Phone with area code *
2

Where you live

Your address MUST be in Northern Anoka County to be served. Cities include: Andover, Anoka, Coon Rapids, Bethel, Blaine, Burns, Cedar, Circle Pines, East Bethel, Ham Lake, Lino Lakes, Nowthen, Oak Grove, Ramsey, St. Francis, Stacey, Wyoming

Street address *
Apartment / unit
City *
State
ZIP code *
3

Your household

Tell us who we are shopping and cooking for.

How many people live in your household? *

Count every adult and child, including yourself.

Partner's first name
Partner's last name
Partner's age

Children under 18 in your custody

Add one row per child. You may need proof of custody at your appointment. A wish list of toy, game or book ideas helps us shop. Wish list gift details up to $35 per child: toys, games, books. Please do NOT request Gift Cards!

Please do NOT request gift cards.

4

Pick up or delivery

Days and times are NOT guaranteed. Appointments are assigned in the order applications are received, and we will confirm your day and time with you.

Requested distribution day
Requested time
5

Review and agree

Please read and check all three.

You will see a confirmation on screen once it is received.