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Request a Visit

Let us bring the holiday joy to your home. Please fill out this intake form so we can begin searching for local volunteer availability.

Note: We do not require any medical diagnosis details or the child's name at this stage.

Fields marked * are required.

So we can locate nearby volunteers.

I acknowledge that submitting this form does not guarantee a visit. Visits are strictly dependent on the availability of volunteers in my area.

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Family packet

New or returning, complete your family paperwork here. Your earlier request above stays exactly as it is.