SafeHaven Now is hosting the annual Angel Tree program. This program is designed to assist families during the Christmas holiday in the Rogersville and Fordland communities. This program operates in conjunction with other community programs. Applicants may apply to multiple programs but will only be accepted to one. Please complete the following information. We will try to keep all information confidential.

Parent’s Name*

Additional parent’s name*

Email*

Applicant’s Mailing Address*

City*

State*

Zip code*

Primary phone number*

1st child’s name*

1st child’s age*

1st child, boy or girl?*

Boy

Girl

1st child’s favorite color

1st child’s pant size

1st child’s shirt size

1st child’s dress size (if applicable)

1st child’s shoe size

1st child’s shoe size hobbies, interests, & gift ideas

2nd child’s name

2nd child’s age

2nd child, boy or girl?

Boy

Girl

2nd child’s favorite color

2nd child’s pant size

2nd child’s shirt size

2nd child’s dress size (if applicable)

2nd child’s shoe size

2nd child’s shoe size hobbies, interests, & gift ideas

3rd child’s name

3rd child’s age

3rd child, boy or girl?

Boy

Girl

3rd child’s favorite color

3rd child’s pant size

3rd child’s shirt size

3rd child’s dress size (if applicable)

3rd child’s shoe size

3rd child’s shoe size hobbies, interests, & gift ideas

More children? Please list there info here

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