Tree of Hope Application 2002

Print this Form : Fill it out
Mail completed form: Family and Children’s Services, PO Box 99 Windsor NS B0N 2T0

Note: Child must be 12 years of age and under. If it is clothing you are requesting PLEASE include size and color. Please do not request footwear or snow suits. The cost of the gift should be to a maximum of $30 - $40.

Gifts are not guaranteed for forms received after December 4, 2002

 

Full Name: __________________________________________________________

Civic Address and Community:  _____________________________________________

Phone number or contact person:  _______________________________________

Can you pick up the gift: Yes: ___ No: ____  (please tick one)

 

CHILD NAME                         Male or Female AGE                                        WISH/SIZE

_____________________________________________________________________________

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Applicant’s Signature:  ________________

                           Date : _________________