Holiday Store Referral

Referring Party Information

The Holiday Store is located in Oregon City. You will receive more detailed information as we get closer to your pick up date. Thank you!

Date

Referred By

Position & Agency

Cell Phone

Work Phone

Address

Recipient's Information

Name of Person Needing Assistance (Parent/Guardian)

County of Residence

Total Number of Children in Family

How does this family fit within our mission?

Holiday Store Date

Holiday Store Time

Child #1 Age

Coat Size

Child #1 Gender

Pajama Size

Brief description of child (please include hobbies, interests, favorite color, etc.)

Child #2 Age

Child #2 Gender

Coat Size

Pajama Size

Brief description of child (please include hobbies, interests, favorite color, etc.)

Child #3 Age

Child #3 Gender

Coat Size

Pajama Size

Brief description of child (please include hobbies, interests, favorite color, etc.)

Child #4 Age

Child #4 Gender

Coat Size

Pajama Size

Brief description of child (please include hobbies, interests, favorite color, etc.)

Thank you for your referral!

Holiday Store Referral

Referring Party Information

The Holiday Store is located in Oregon City. You will receive more detailed information as we get closer to your pick up date. Thank you!

Recipient's Information

The Angels in the Outfield

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Holiday Store Referral

Referring Party Information

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The Holiday Store is located in Oregon City. You will receive more detailed information as we get closer to your pick up date. Thank you!

Recipient's Information

The Angels in the Outfield

Join our Mailing List!

Quick Links