Christmas Sponsorship Application Form Date First Name Last Name Date of Birth Street Address City Postal Code Phone Email Child #1 First and Last Name ID Number (last four digits only) Gender Date of Birth Clothing Size Shoe Size Child #2 First and Last Name ID Number (last four digits only) Gender Date of Birth Clothing Size Shoe Size Child #3 First and Last Name ID Number (last four digits only) Gender Date of Birth Clothing Size Shoe Size Child #4 First and Last Name ID Number (last four digits only) Gender Date of Birth Clothing Size Shoe Size Additional Child/Children Total Number of Children (18 years old and under) Total Number of Adults (19 years old and over) Total Family Size Child #1 Name Christmas Wish List Child #2 Name Christmas Wish List Child #3 Name Christmas Wish List Child #4 Name Christmas Wish List Parent/Guardian #1 Name Christmas Wish List Parent/Guardian #2 Name Christmas Wish List I hereby declare that the information provided by me is true and correct. I agree that the name(s) and information included in this application are submitted to Parker Street Food & Furniture Bank for information purposes and may be shared with Christmas registry maintained by Feed Nova Scotia. I understand that this information will be held in the strictest confidence and will not be released by Parker Street Food & Furniture Bank or the shared Christmas registry to any outside parties. Submit
