Family Intake

The Christmas Season is not always a time for joy and happiness. For many in our Communities, it is a time of uncertainty and stress to make ends meet. We also understand that asking for help is just as difficult.

Individuals, Families and Seniors who are in need of support and would like to apply to Project Christmas Elf must complete the Intake Form Below.

Family Intake Form

Please fill out this form for a Family of Any Size including Independent Seniors. (1-8 persons including applicant)

All Fields are Mandatory. Your form will not be submitted unless completely filled in.

You will receive a confirmation of submission of this form. We request your patience while we review your file, it may be a few days before one of our Project Christmas Elves contact you via email with the next steps.

Name (First & Last)*

This field is mandatory

E-mail*

This field is mandatory

The e-mail address is invalid

Current Full Address*

This field is mandatory

Home Phone (n/a if not available)*

This field is mandatory

Cell Phone (voice & text communication)*

This field is mandatory

You Role in the Family (mother, father, etc)*

This field is mandatory

Total Number of people in Family (including yourself)?*

This field is mandatory

Please list ALL Members of Family. First Name, age, gender*

This field is mandatory

Have you been sponsored by PCE before? Yes or No. If Yes, what year?*

This field is mandatory

Have you requested support from other Organizations? (Food Bank, Mammas for Mammas, etc.) If Yes, provide Organization name and what they may provide your family. What comes with support requested?*

This field is mandatory

Please write a short paragraph, which will be shared with sponsors about your family and your situation. Please do not include personal information as this may be used on public media.*

This field is mandatory

Which grocery outlet would be best if you were to receive gift cards? (Walmart, Superstore, SaveOn, IGA, etc)*

This field is mandatory

Please list your family's top 3 most urgent needs?*

This field is mandatory

Sponsors may provide gifts from a wish list. Please keep items under $50. These items are not a need but something extra that could be purchased for family members. Please list 'Name - Wishlist Item'.*

This field is mandatory

If your children believe in Santa, please list a Santa Item under $50 that a Sponsor could buy. List Name - 'Santa Item'.*

This field is mandatory

Choose Gift Wrapping. (Sponsor Wrap, You Wrap, Santa Gifts Only or It Doesn't Matter)*

This field is mandatory

Can Name be given to Sponsor for gift labeling? Please Choose: Yes. No, Just First Initial. No, Just Gender & Age.*

This field is mandatory

Is there any additional information your would like to provide?*

This field is mandatory

I confirm that all information I have provided is complete and true to my knowledge*

This field is mandatory

* Indicates required fields

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Thank you! We will get back to you as soon as possible.

Help Us Make a Little Magic for Families in the Shuswap/Okanagan Region this Christmas.

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