Home
About
Refer
Impact
Events
Volunteer
Contact
More...
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
Email
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
Choose an option
December 17th
December 18th
December 19th
arrow&v
Holiday Store Time
Choose an option
10am-1pm (not available for Dec. 17th)
1pm-4pm (not available for Dec. 17th)
4pm-6:30pm
arrow&v
Child #1 Age
Coat Size
Choose an option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
arrow&v
Child #1 Gender
Choose an option
Girl
Boy
arrow&v
Pajama Size
Choose an option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
arrow&v
Brief description of child (please include hobbies, interests, favorite color, etc.)
Child #2 Age
Child #2 Gender
Choose an option
Girl
Boy
arrow&v
Coat Size
Choose an option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
arrow&v
Pajama Size
Choose an option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
arrow&v
Brief description of child (please include hobbies, interests, favorite color, etc.)
Child #3 Age
Child #3 Gender
Choose an option
Girl
Boy
arrow&v
Coat Size
Choose an option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
arrow&v
Pajama Size
Choose an option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
arrow&v
Brief description of child (please include hobbies, interests, favorite color, etc.)
Child #4 Age
Child #4 Gender
Choose an option
Girl
Boy
arrow&v
Coat Size
Choose an option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
arrow&v
Pajama Size
Choose an option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
arrow&v
Brief description of child (please include hobbies, interests, favorite color, etc.)
Submit
Thank you for your referral!
Home
Donate