Christmas Registration

Parent or Guardian Information

Please provide the parent or guardian’s information in the below fields. No indentifying information for you or your child will be shared outside of Rivers of Hope Ministries. After entering the parent information, please proceed to the child information to enter your child’s information.

Today's Date

Parent or Guardian's Name*

First Last

Date of Birth*

Gender*

Phone*

Email*

Enter Email Confirm Email

Address*

Street Address Address Line 2 City State ZIP / Postal Code

How did you hear about this event?

Number of Children*

Please enter the number of children you wish to receive a stocking blessing. Maximum of 5 children per household.

Please enter a number from 1 to 5.

How can we pray for you and your family?

Child #1 Information

Please provide information about each child you would like to receive gifts separately. This information is used to help donors find gifts for your child. Check the box ‘I have another child to register’ to add another child to the form and be sure to fill out all information for each child. Maximum of 5 children per household.

Child's Name*

First Last

Child's Age*

Child's Gender*

Child's Date of Birth*

Name of Parent or Guardian that is registering child*

Please also include the name of the person that will be picking up the toys if this is a different person.

Please List Two Items your Child Wants for Christmas*

Please List Two Items your Child Needs for Christmas*

What is your child's Favorite Color?*

Tell us your child's Favorite Things.*

Please Select the type of Clothing Most Needed by your child.*

Underwear Size*

Coat Size*

Shoe Size*

Shirt Size*

Pant Waist Size*

Pant Length

Please tell us anything else you think we should know about this child.

Do you have a 2nd child to register?*

Yes

No

Child #2 Information

Please provide information about each child you would like to receive gifts separately. This information is used to help donors find gifts for your child. Check the box ‘I have another child to register’ to add another child to the form and be sure to fill out all information for each child.

Child's Name*

First Last

Child's Age*

Child's Gender*

Child's Date of Birth*

Name of Parent or Guardian that is registering child*

Please also include the name of the person that will be picking up the toys if this is a different person.

Please List Two Items your Child Wants for Christmas*

Please List Two Items your Child Needs for Christmas*

What is your child's Favorite Color?*

Tell us your child's Favorite Things.*

Please Select the type of Clothing Most Needed by your child.*

Underwear Size*

Coat Size*

Shoe Size*

Shirt Size*

Pant Waist Size*

Pant Length

Please tell us anything else you think we should know about this child.

Do you have a 3rd child to register?*

Yes

No

Child #3 Information

Please provide information about each child you would like to receive gifts separately. This information is used to help donors find gifts for your child. Check the box ‘I have another child to register’ to add another child to the form and be sure to fill out all information for each child.

Child's Name*

First Last

Child's Age*

Child's Gender*

Child's Date of Birth*

Name of Parent or Guardian that is registering child*

Please also include the name of the person that will be picking up the toys if this is a different person.

Please List Two Items your Child Wants for Christmas*

Please List Two Items your Child Needs for Christmas*

What is your child's Favorite Color?*

Tell us your child's Favorite Things.*

Please Select the type of Clothing Most Needed by your child.*

Underwear Size*

Coat Size*

Shoe Size*

Shirt Size*

Pant Waist Size*

Pant Length

Please tell us anything else you think we should know about this child.

Do you have a 4th child to register?*

Yes

No

Child #4 Information

Please provide information about each child you would like to receive gifts separately. This information is used to help donors find gifts for your child. Check the box ‘I have another child to register’ to add another child to the form and be sure to fill out all information for each child.

Child's Name*

First Last

Child's Age*

Child's Gender*

Child's Date of Birth*

Name of Parent or Guardian that is registering child*

Please also include the name of the person that will be picking up the toys if this is a different person.

Please List Two Items your Child Wants for Christmas*

Please List Two Items your Child Needs for Christmas*

What is your child's Favorite Color?*

Tell us your child's Favorite Things.*

Please Select the type of Clothing Most Needed by your child.*

Underwear Size*

Coat Size*

Shoe Size*

Shirt Size*

Pant Waist Size*

Pant Length

Please tell us anything else you think we should know about this child.

Do you have a 5th child to register?*

Yes

No

Child #5 Information

Please provide information about each child you would like to receive gifts separately. This information is used to help donors find gifts for your child. Check the box ‘I have another child to register’ to add another child to the form and be sure to fill out all information for each child.

Child's Name*

First Last

Child's Age*

Child's Gender*

Child's Date of Birth*

Name of Parent or Guardian that is registering child*

Please also include the name of the person that will be picking up the toys if this is a different person.

Please List Two Items your Child Wants for Christmas*

Please List Two Items your Child Needs for Christmas*

What is your child's Favorite Color?*

Tell us your child's Favorite Things.*

Please Select the type of Clothing Most Needed by your child.*

Underwear Size*

Coat Size*

Shoe Size*

Shirt Size*

Pant Waist Size*

Pant Length

Please tell us anything else you think we should know about this child.

Parent or Guardian's Signature*

Christmas Stocking Blessing Registration (1)

Parent or Guardian Information

Child #1 Information

Child #2 Information

Child #3 Information

Child #4 Information

Child #5 Information