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*

What is your preferred grocery store?

Would you like the gifts to be wrapped or unwrapped?*

Who would you like the gift tags to say the gifts are from?*

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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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