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Toys for Tots Recipient Registration Form

This form will enable you to register your child for a the 2022 Toys for Tots giving year. Please complete and submit 1 form per family (limit 4 children per household). The information provided through this form will be kept confidential and will help us to determine the best way(s) we can serve you.

Contact Information

Name

First Name

Last Name

Verify Email

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Child #1 Name

First Name

Last Name

Gender

Male

Female

Age

Newborn to 2 yrs

3 to 5 yrs

6 to 7 yrs

8 to 10 yrs

11 to 14 yrs

Child #2 Name

First Name

Last Name

Gender

Male

Female

Age

Newborn to 2 yrs

3 to 5 yrs

6 to 7 yrs

8 to 10 yrs

11 to 14 yrs

Child #3 Name

First Name

Last Name

Gender

Male

Female

Age

Newborn to 2 yrs

3 to 5 yrs

6 to 7 yrs

8 to 10 yrs

11 to 14 yrs

Child #4 Name

First Name

Last Name

Gender

Male

Female

Age

Newborn to 2 yrs

3 to 5 yrs

6 to 7 yrs

8 to 10 yrs

11 to 14 yrs

NOTE

Recipients will be selected on a first come first serve basis. Recipients will be notified by email with information and instructions to complete the registration process. Failure to complete the registration process within the allotted time frames will result in loss of your place in que.