Christmas Spree with WMPD Application Please fill out the form below to apply for the Christmas Spree with WMPD. Child participant informationPlease enter the following information for each child.(Required)NameAgeGender (M, F) Add RemoveYou can enter up to six (6) children. Click the plus (+) to add another child.Child(ren)'s primary residence informationAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Person(s) who live(s) with the children and have legal custodyMother's Name First Last AgeDate of birth (if known) MM slash DD slash YYYY PhoneIf part of this household, is mother currently employed?NoYesIf yes, where?Hourly wageHours per weekFathers Name First Last AgeDate of birth (if known) MM slash DD slash YYYY PhoneIf part of this household, is father currently employed?NoYesIf yes, where?Hourly wageHours per weekGuardian's Name First Last AgeDate of birth (if known) MM slash DD slash YYYY PhoneIf part of this household, is the guardian currently employed?NoYesIf yes, where?Hourly wageHours per weekOther InformationDoes anyone in the household receive any other type of assistance?NoYesIf yes, how much?List all schools that the child(ren) currently attend. If none, right none.(Required)Will you or the child(ren) receive other Christmas assistance? Please select all that apply.(Required) Government Agency Church(es) Private Agency Other Please specify.Please explain in detail why this family should be selected. All of this information remains confidential. The more detailed information you provide will only help in the selection process.(Required)Application completed by:(Required) First Name Last Name Relationship to child(ren):(Required)
