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2018 Wish List
Hope for the Holidays - Family Wish List
Household Information - Please note, last names and contact information will not be shared with sponsors.
Patient name
*
First
Last
Parent/guardian name (main contact)
*
First
Last
Email
*
Phone
*
Number of people in household
*
Number of people in household
0
1
2
3
4
5
6+
What is your preferred grocery store?
Would you like the gifts to be wrapped or unwrapped?
*
Would you like the gifts to be wrapped or unwrapped?
Wrapped
Unwrapped
Who would you like the gift tags to say the gifts are from?
*
Who would you like the gift tags to say the gifts are from?
Santa
Mom and Dad
Mom
Dad
Sponsor's Name
Household Wish List
Household - BIG WISH item (no more than $100)
Wish List(s) for Children
Child 1 - Name
*
First
Child 1 - Age
*
Child 1 - Gender
*
Child 1 - Gender
Male
Female
Child 1 - Favorite Color
*
Child 1- Hobbies and/or things they like
*
Child 1 - Pajama size (please clarify youth or adult)
*
Child 1 - Shoe size (please clarify youth or adult)
*
Child 1 - Wish list item #1 (no more than $25)
Child 1 - Wish list item #2 (no more than $50)
Child 1 - BIG WISH item (no more than $100)
Add a child's wish list
Child 2 - Wish List
Child 2 - First Name
First
Child 2 - Age
Child 2 - Gender
Child 2 - Gender
Male
Female
Child 2 - Favorite color
Child 2 - Hobbies and/or things they like
Child 2 - Pajama size (Please clarify youth or adult)
Child 2 - Shoe size (please clarify youth or adult)
Child 2 - Wish list item #1 (no more than $25)
Sibling 2 - Wish list item #2 (no more than $50)
Child 2 - BIG WISH item (no more than $100)
Add a child's wish list
Child 3 - Wish List
Child 3 - First name
First
Child 3 - Age
Child 3 - Gender
Child 3 - Gender
Male
Female
Child 3 - Favorite color
Child 3 - Hobbies and/or things they like
Child 3 - Pajama size (Please clarify youth or adult)
Child 3 - Shoe size (please clarify youth or adult)
Child 3 - Wish list item #1 (no more than $25)
Child 3 - Wish list item #2 (no more than $50)
Child 3 - BIG WISH item (no more than $100)
Add a child's wish list
Child 4 - Wish List
Child 4 - First Name
First
Child 4 - Age
Child 4 - Gender
Child 4 - Gender
Male
Female
Child 4 - Favorite color
Child 4 - Hobbies and/or things they like
Child 4 - Pajama size (Please clarify youth or adult)
Child 4 - Shoe size (please clarify youth or adult)
Child 4 - Wish list item #1 (no more than $25)
Child 4 - Wish list item #2 (no more than $50)
Child 4 - BIG WISH item (no more than $100)
Add a child's wish list
Child 5 - Wish List
Child 5 - First Name
First
Child 5 - Age
Child 5 - Gender
Child 5 - Gender
Male
Female
Child 5 - Favorite color
Child 5 - Hobbies and/or things they like
Child 5 - Pajama size (Please clarify youth or adult)
Child 5 - Shoe size (please clarify youth or adult)
Child 5 - Wish list item #1 (no more than $25)
Child 5 - Wish list item #2 (no more than $50)
Child 5 - BIG WISH item (no more than $100)
Add a child's wish list
Child 6 - Wish List
Child 6 - First Name
First
Child 6 - Age
Child 6 - Gender
Child 6 - Gender
Male
Female
Child 6 - Favorite color
Child 6 - Hobbies and/or things they like
Child 6 - Pajama size (Please clarify youth or adult)
Child 6 - Shoe size (please clarify youth or adult)
Child 6 - Wish list item #1 (no more than $25)
Child 6 - Wish list item #2 (no more than $50)
Child 6 - BIG WISH item (no more than $100)
Parent/Guardian 1 - Wish List
Parent/guardian 1 - Name (feel free to put Mom or Dad)
First
Parent/guardian 1 - Gender
Parent/guardian 1 - Gender
Male
Female
Parent/guardian 1 - Favorite color
Parent/guardian 1 - Hobbies and/or things they like
Parent/guardian 1 - Pajama size
Parent/guardian 1 - Shoe size
Parent/guardian 1 - Wish list item #1 (no more than $25)
Parent/guardian 1 - Wish list item #2 (no more than $50)
Add a parent/guardian wish list
Parent/Guardian 2 - Wish List
Parent/guardian 2 - Name (feel free to put Mom or Dad)
First
Parent/guardian 2 - Gender
Parent/guardian 2 - Gender
Male
Female
Parent/guardian 2 - Favorite color
Parent/guardian 2 - Hobbies
Parent/guardian 2 - Pajama size
Parent/guardian 2 - Shoe size
Parent/guardian 2 - Wish list item #1 (no more than $25)
Parent/guardian 2 - Wish list item #2 (no more than $50)
Please provide any additional comments in the space below
