2022 Holiday Program Application
Page 2 (Please fill out a different sheet for each child)
PARENT’S NAME: __________________________________________________
CHILD’S NAME: ____________________________________ AGE: ________ (for children under 13 yrs)
Holiday Basket Wish List: Following is a list of gift ideas that we have available for your child. Please check up to five gifts for your child. There is also a line for a special request. Please note that BRGNS does not have funding for expensive items such as computers, tablets, phones or game systems. We will do our best to provide special requests within our budget.
___Barbie Doll ___Nerf Toys
___Baby Doll ___Action Figures
___Paw Patrol ___Books
___Lego ___Craft Items
___Star Wars ___Stuffed Animals
___Cars ___Sports Items
___Trucks ___Workshop Items
___Airplanes ___Jewelry Kits
___Play Dough ___Dinosaurs
___History ___Graphic Novels
___Science ___Coloring Books
Additional information on any of your above selections_________________________
Special Request: ______________________________________________________
We may also provide some clothing in addition to toys when available. Please provide your child’s size and sex.
Clothing Size___________ Foot Size___________ Boy____ Girl____
This is just a guideline. We will do our best to meet your requests. Even these items are limited, so the sooner you return your list, the greater your choices are of getting what you request. If you have any questions, please call 228-3663.