Blueprints Christmas 2023

Name (First name and last initial; i.e. John D.)(Required)

In which Blueprints' program do you participate?(Required)

If you participate in multiple programs, please just select one of them.

Who is your caseworker? (Please enter the name of the person who gave you this link.)(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Family Situation:(Required)

Please share why Christmas is a financial challenge for you this year? (please be as detailed as possible)

Select Number of Children: (under 18)(Required)

Child Information

Please be specific when filling out the information below. To change the number of children, please utilize the plus (+) and minus (-) signs at the bottom left of the toy wish list box.

Child's Name:

Age
Please enter a number from 0 to 17.

Gender

Clothing Size: (please be specific)

Shoe Size:

Coat Size:

Toy Wish List: (if dolls are on the list, please include the gender and/or race of the doll)

(-) Remove Child (+) Add Child

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