Please enable JavaScript in your browser to complete this form.Welcome to Project R.E.A.C.H.’s Adopt-A-Family program intake process for the 2021 Christmas season.H.E.L.P. focuses on helping families in need and we would like to see how we may be of service to your family this Christmas. We are EXCITED to have you a part of our program this year, and we look forward to getting to know more about you and your family. HOW THE PROGRAM WORKS AND WHAT YOU CAN EXPECT:Once your intake is completed, a host will be assigned to your family. A host is a person or company that signs up to adopt your family for Christmas. Once your family is connected with a host, the host will receive a summary of your completed intake information. The host reviews it and sees how they can serve your family depending on your needs, wants, and current circumstances. If any additional information is needed, we will reach out to the primary contact person based on your intake. Once the shopping is complete and the gifts are all wrapped, we will be delivering your Christmas to you and your family on a designated date. You will receive a notice of the date and time the delivery will occur because we would like, if possible, to have the whole family at home when Santa delivers Christmas.NextGENERAL INFORMATIONMain Contact Person *FirstLastMain Contact's Phone Number *Email *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAre there any known food allergies in the family? *YesNoIf yes, please explain: *PreviousNextFAMILY’S CURRENT CIRCUMSTANCESThis portion of the intake form is where you tell us a little more about your family and your current situation. H.E.L.P. has quite a few resources, and the more we know about your current circumstance, the more we may be able to help out your family with the resources we have. Our Adopt-A-Family program is unique because we focus on providing families with a hand up in their current circumstances, and we do that by getting to know more about who you and your family are. The hosts that adopt a family are interested in knowing more about your family in ways that may go beyond gifts, so please provide as much detail in your answers below.What is the current employment situation for each adult? *Are the adults in the family currently working and/or looking for work, attending school or planning on going to school (school also includes trade schools).What is your family’s current housing situation? *Does ypur family currently have stable housing? Are you looking for housing? If so, please explain what area you are looking for housing in and the type of housing your family is in need of (2 bedroom, 3 bedroom, etc.).If an adult in the home is currently looking for work, what type of work experience do they have?Do any of the adults need help in obtaining a valid state ID or driver’s license? *YesNoIf yes, which adult(s)? *Please explain which adult need which type of valid state ID.Does the family have a working vehicle? *YesNoAre the children in need of school uniforms (what type of uniforms) and/or school supplies?How can your family benefit from our program? *Is there anything else that you would like for us to know about your family?PreviousNextWHAT IS THE SIZE OF THE FAMILY? *Choice 1212345678910Total number of adults (18 and older) plus the total number of children in the family?PreviousNext1ST FAMILY MEMBER'S INFORMATION Please be as specific as possible when filling out the next portion of the intake form. Be as detailed as possible in describing what each family member really needs and what they would really want for Christmas, and please stay away from putting gift cards down as a choice. Family Member's First Name *Adult (18 years and older) or Child 1? *AdultChildAge? *Grade in School? *Gender *MaleFemaleWhen inputting the sizes for clothing and shoes, please also provide the appropriate department so that we get the right size for each family member. Infants 0-24 months T-Toddler 2T-5T C-Children Size 4C- for ages 3 to 4 Size 5C- ages 4 to 5 Size 6C- ages 5 to 6 6X(G)/7(B)- ages 6 to 7 Youth/Junior Small- sizes 8-10 Medium- sizes 12-14 Large- sizes 16-18 Xtra Large- size 18 W-Women''s XS (extra small)- Top sizes 0-2/ Waist 24/25 Small- Top sizes 4-6/ Waist 26/27 Medium-sizes 8-10 Waist 28/29 Large-sizes 12-14 Waist 30/31 XL- sizes 16-18 Waist 32/33 XXL- sizes 20-22 Waist 34/35 XXL-sizes 24-26 Waist 36/37 XXXL- sizes 28-32 Waist 38/39 M-Men's XS (extra small)- Top sizes 30-32/ Waist 26/29 Small- Top sizes 34-36/ Waist 29/31 Medium-sizes 38-40 Waist 31/33 Large-sizes 42-44 Waist 33/36 XL- sizes 46-48 Waist 36/39 XXL- sizes 50-52 Waist 40/44 XXL-sizes 54-56 Waist 44/48Shirt/Top Size: *Clothing Department *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sPants/Bottom Size: *Clothing Department: *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sDifferent Shoe Sizes: Infants (0-9m) shoe sizes:0-3 Toddlers (9-4 years) shoe sizes: 3.5-10 Children (5-7 ) shoe sizes: 10.5-3 Youth/Juniors (7-12) shoe sizes: 3.5-7 Women’s shoe sizes: 4-13 Men’s shoe sizes 6-16Shoe Size: *Shoe Department: *Please select one...ToddlersChildrenYouth/JuniorsWomen'sMen'sShoe Width: *Please select one...NormalWideWhat are you in need of this Christmas? *What essentials do you need (winter clothes, jackets, shoes for work.etc)? Please do not put down gift cards.What would you like to get for Christmas? *What are you into (music, art, gaming, Legos, LOL dolls, Paw Patrol, etc.)? Please stay away from putting down gift cards.PreviousNext2ND FAMILY MEMBER'S INFORMATIONPlease be as specific as possible when filling out the next portion of the intake form. Be as detailed as possible in describing what each family member really needs and what they would really want for Christmas, and please stay away from putting gift cards down as a choice. Family Member's First Name *Adult (18 years and older) or Child 2? *AdultChildAge? *Grade in School? *Gender *MaleFemaleWhen inputting the sizes for clothing and shoes, please also provide the appropriate department so that we get the right size for each family member. Infants 0-24 months T-Toddler 2T-5T C-Children Size 4C- for ages 3 to 4 Size 5C- ages 4 to 5 Size 6C- ages 5 to 6 6X(G)/7(B)- ages 6 to 7 Youth/Junior Small- sizes 8-10 Medium- sizes 12-14 Large- sizes 16-18 Xtra Large- size 18 W-Women''s XS (extra small)- Top sizes 0-2/ Waist 24/25 Small- Top sizes 4-6/ Waist 26/27 Medium-sizes 8-10 Waist 28/29 Large-sizes 12-14 Waist 30/31 XL- sizes 16-18 Waist 32/33 XXL- sizes 20-22 Waist 34/35 XXL-sizes 24-26 Waist 36/37 XXXL- sizes 28-32 Waist 38/39 M-Men's XS (extra small)- Top sizes 30-32/ Waist 26/29 Small- Top sizes 34-36/ Waist 29/31 Medium-sizes 38-40 Waist 31/33 Large-sizes 42-44 Waist 33/36 XL- sizes 46-48 Waist 36/39 XXL- sizes 50-52 Waist 40/44 XXL-sizes 54-56 Waist 44/48Shirt/Top Size: *Clothing Department *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sPants/Bottom Size: *Clothing Department *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sDifferent Shoe Sizes: Infants (0-9m) shoe sizes:0-3 Toddlers (9-4 years) shoe sizes: 3.5-10 Children (5-7 ) shoe sizes: 10.5-3 Youth/Juniors (7-12) shoe sizes: 3.5-7 Women’s shoe sizes: 4-13 Men’s shoe sizes 6-16Shoe Size: *Shoe Department: *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sShoe Width: *Please select one...NormalWideWhat are you in need of this Christmas? *What essentials do you need (winter clothes, jackets, shoes for work.etc)? Please do not put down gift cards.What would you like to get for Christmas? *What are you into (music, art, gaming, Legos, LOL dolls, Paw Patrol, etc.)? Please stay away from putting down gift cards.PreviousNext3RD FAMILY MEMBER'S INFORMATION Please be as specific as possible when filling out the next portion of the intake form. Be as detailed as possible in describing what each family member really needs and what they would really want for Christmas, and please stay away from putting gift cards down as a choice. Family Member's First Name *Adult (18 years and older) or Child 3? *AdultChildAge? *Grade in School? *Gender *MaleFemaleWhen inputting the sizes for clothing and shoes, please also provide the appropriate department so that we get the right size for each family member. Infants 0-24 months T-Toddler 2T-5T C-Children Size 4C- for ages 3 to 4 Size 5C- ages 4 to 5 Size 6C- ages 5 to 6 6X(G)/7(B)- ages 6 to 7 Youth/Junior Small- sizes 8-10 Medium- sizes 12-14 Large- sizes 16-18 Xtra Large- size 18 W-Women''s XS (extra small)- Top sizes 0-2/ Waist 24/25 Small- Top sizes 4-6/ Waist 26/27 Medium-sizes 8-10 Waist 28/29 Large-sizes 12-14 Waist 30/31 XL- sizes 16-18 Waist 32/33 XXL- sizes 20-22 Waist 34/35 XXL-sizes 24-26 Waist 36/37 XXXL- sizes 28-32 Waist 38/39 M-Men's XS (extra small)- Top sizes 30-32/ Waist 26/29 Small- Top sizes 34-36/ Waist 29/31 Medium-sizes 38-40 Waist 31/33 Large-sizes 42-44 Waist 33/36 XL- sizes 46-48 Waist 36/39 XXL- sizes 50-52 Waist 40/44 XXL-sizes 54-56 Waist 44/48Shirt/Top Size: *Clothing Department *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sPants/Bottom Size: *Clothing Department *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sDifferent Shoe Sizes: Infants (0-9m) shoe sizes:0-3 Toddlers (9-4 years) shoe sizes: 3.5-10 Children (5-7 ) shoe sizes: 10.5-3 Youth/Juniors (7-12) shoe sizes: 3.5-7 Women’s shoe sizes: 4-13 Men’s shoe sizes 6-16Shoe Size: *Shoe Department: *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sShoe Width: *Please select one...NormalWideWhat are you in need of this Christmas? *What essentials do you need (winter clothes, jackets, shoes for work.etc)? Please do not put down gift cards.What would you like to get for Christmas? *What are you into (music, art, gaming, Legos, LOL dolls, Paw Patrol, etc.)? Please stay away from putting down gift cards.PreviousNext4TH FAMILY MEMBER'S INFORMATION Please be as specific as possible when filling out the next portion of the intake form. Be as detailed as possible in describing what each family member really needs and what they would really want for Christmas, and please stay away from putting gift cards down as a choice. Family Member's First Name *Adult (18 years and older) or Child 4? *AdultChildAge? *Grade in School? *Gender *MaleFemaleWhen inputting the sizes for clothing and shoes, please also provide the appropriate department so that we get the right size for each family member. Infants 0-24 months T-Toddler 2T-5T C-Children Size 4C- for ages 3 to 4 Size 5C- ages 4 to 5 Size 6C- ages 5 to 6 6X(G)/7(B)- ages 6 to 7 Youth/Junior Small- sizes 8-10 Medium- sizes 12-14 Large- sizes 16-18 Xtra Large- size 18 W-Women''s XS (extra small)- Top sizes 0-2/ Waist 24/25 Small- Top sizes 4-6/ Waist 26/27 Medium-sizes 8-10 Waist 28/29 Large-sizes 12-14 Waist 30/31 XL- sizes 16-18 Waist 32/33 XXL- sizes 20-22 Waist 34/35 XXL-sizes 24-26 Waist 36/37 XXXL- sizes 28-32 Waist 38/39 M-Men's XS (extra small)- Top sizes 30-32/ Waist 26/29 Small- Top sizes 34-36/ Waist 29/31 Medium-sizes 38-40 Waist 31/33 Large-sizes 42-44 Waist 33/36 XL- sizes 46-48 Waist 36/39 XXL- sizes 50-52 Waist 40/44 XXL-sizes 54-56 Waist 44/48Shirt/Top Size: *Clothing Department *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sPants/Bottom Size: *Clothing Department *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sDifferent Shoe Sizes: Infants (0-9m) shoe sizes:0-3 Toddlers (9-4 years) shoe sizes: 3.5-10 Children (5-7 ) shoe sizes: 10.5-3 Youth/Juniors (7-12) shoe sizes: 3.5-7 Women’s shoe sizes: 4-13 Men’s shoe sizes 6-16Shoe Size: *Shoe Department: *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sShoe Width: *Please select one...NormalWideWhat are you in need of this Christmas? *What essentials do you need (winter clothes, jackets, shoes for work.etc)? Please do not put down gift cards.What would you like to get for Christmas? *What are you into (music, art, gaming, Legos, LOL dolls, Paw Patrol, etc.)? Please stay away from putting down gift cards.PreviousNext5TH FAMILY MEMBER'S INFORMATION Please be as specific as possible when filling out the next portion of the intake form. Be as detailed as possible in describing what each family member really needs and what they would really want for Christmas, and please stay away from putting gift cards down as a choice. Family Member's First Name *Adult (18 years and older) or Child 5? *AdultChildAge? *Grade in School? *Gender *MaleFemaleWhen inputting the sizes for clothing and shoes, please also provide the appropriate department so that we get the right size for each family member. Infants 0-24 months T-Toddler 2T-5T C-Children Size 4C- for ages 3 to 4 Size 5C- ages 4 to 5 Size 6C- ages 5 to 6 6X(G)/7(B)- ages 6 to 7 Youth/Junior Small- sizes 8-10 Medium- sizes 12-14 Large- sizes 16-18 Xtra Large- size 18 W-Women''s XS (extra small)- Top sizes 0-2/ Waist 24/25 Small- Top sizes 4-6/ Waist 26/27 Medium-sizes 8-10 Waist 28/29 Large-sizes 12-14 Waist 30/31 XL- sizes 16-18 Waist 32/33 XXL- sizes 20-22 Waist 34/35 XXL-sizes 24-26 Waist 36/37 XXXL- sizes 28-32 Waist 38/39 M-Men's XS (extra small)- Top sizes 30-32/ Waist 26/29 Small- Top sizes 34-36/ Waist 29/31 Medium-sizes 38-40 Waist 31/33 Large-sizes 42-44 Waist 33/36 XL- sizes 46-48 Waist 36/39 XXL- sizes 50-52 Waist 40/44 XXL-sizes 54-56 Waist 44/48Shirt/Top Size: *Clothing Department *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sPants/Bottom Size: *Clothing Department *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sDifferent Shoe Sizes: Infants (0-9m) shoe sizes:0-3 Toddlers (9-4 years) shoe sizes: 3.5-10 Children (5-7 ) shoe sizes: 10.5-3 Youth/Juniors (7-12) shoe sizes: 3.5-7 Women’s shoe sizes: 4-13 Men’s shoe sizes 6-16Shoe Size: *Shoe Department: *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sShoe Width: *Please select one...NormalWideWhat are you in need of this Christmas? *What essentials do you need (winter clothes, jackets, shoes for work.etc)? Please do not put down gift cards.What would you like to get for Christmas? *What are you into (music, art, gaming, Legos, LOL dolls, Paw Patrol, etc.)? Please stay away from putting down gift cards.PreviousNext6TH FAMILY MEMBER'S INFORMATION Please be as specific as possible when filling out the next portion of the intake form. Be as detailed as possible in describing what each family member really needs and what they would really want for Christmas, and please stay away from putting gift cards down as a choice. Family Member's First Name *Adult (18 years and older) or Child 6? *AdultChildAge? *Grade in School? *Gender *MaleFemaleWhen inputting the sizes for clothing and shoes, please also provide the appropriate department so that we get the right size for each family member. Infants 0-24 months T-Toddler 2T-5T C-Children Size 4C- for ages 3 to 4 Size 5C- ages 4 to 5 Size 6C- ages 5 to 6 6X(G)/7(B)- ages 6 to 7 Youth/Junior Small- sizes 8-10 Medium- sizes 12-14 Large- sizes 16-18 Xtra Large- size 18 W-Women''s XS (extra small)- Top sizes 0-2/ Waist 24/25 Small- Top sizes 4-6/ Waist 26/27 Medium-sizes 8-10 Waist 28/29 Large-sizes 12-14 Waist 30/31 XL- sizes 16-18 Waist 32/33 XXL- sizes 20-22 Waist 34/35 XXL-sizes 24-26 Waist 36/37 XXXL- sizes 28-32 Waist 38/39 M-Men's XS (extra small)- Top sizes 30-32/ Waist 26/29 Small- Top sizes 34-36/ Waist 29/31 Medium-sizes 38-40 Waist 31/33 Large-sizes 42-44 Waist 33/36 XL- sizes 46-48 Waist 36/39 XXL- sizes 50-52 Waist 40/44 XXL-sizes 54-56 Waist 44/48Shirt/Top Size: *Clothing Department *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sPants/Bottom Size: *Clothing Department *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sDifferent Shoe Sizes: Infants (0-9m) shoe sizes:0-3 Toddlers (9-4 years) shoe sizes: 3.5-10 Children (5-7 ) shoe sizes: 10.5-3 Youth/Juniors (7-12) shoe sizes: 3.5-7 Women’s shoe sizes: 4-13 Men’s shoe sizes 6-16Shoe Size: *Shoe Department: *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sShoe Width: *Please select one...NormalWideWhat are you in need of this Christmas? *What essentials do you need (winter clothes, jackets, shoes for work.etc)? Please do not put down gift cards.What would you like to get for Christmas? *What are you into (music, art, gaming, Legos, LOL dolls, Paw Patrol, etc.)? Please stay away from putting down gift cards.PreviousNext7TH FAMILY MEMBER'S INFORMATION Please be as specific as possible when filling out the next portion of the intake form. Be as detailed as possible in describing what each family member really needs and what they would really want for Christmas, and please stay away from putting gift cards down as a choice. Family Member's First Name *Adult (18 years and older) or Child 7? *AdultChildAge? *Grade in School? *Gender *MaleFemaleWhen inputting the sizes for clothing and shoes, please also provide the appropriate department so that we get the right size for each family member. Infants 0-24 months T-Toddler 2T-5T C-Children Size 4C- for ages 3 to 4 Size 5C- ages 4 to 5 Size 6C- ages 5 to 6 6X(G)/7(B)- ages 6 to 7 Youth/Junior Small- sizes 8-10 Medium- sizes 12-14 Large- sizes 16-18 Xtra Large- size 18 W-Women''s XS (extra small)- Top sizes 0-2/ Waist 24/25 Small- Top sizes 4-6/ Waist 26/27 Medium-sizes 8-10 Waist 28/29 Large-sizes 12-14 Waist 30/31 XL- sizes 16-18 Waist 32/33 XXL- sizes 20-22 Waist 34/35 XXL-sizes 24-26 Waist 36/37 XXXL- sizes 28-32 Waist 38/39 M-Men's XS (extra small)- Top sizes 30-32/ Waist 26/29 Small- Top sizes 34-36/ Waist 29/31 Medium-sizes 38-40 Waist 31/33 Large-sizes 42-44 Waist 33/36 XL- sizes 46-48 Waist 36/39 XXL- sizes 50-52 Waist 40/44 XXL-sizes 54-56 Waist 44/48Shirt/Top Size: *Clothing Department *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sPants/Bottom Size: *Clothing Department *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sDifferent Shoe Sizes: Infants (0-9m) shoe sizes:0-3 Toddlers (9-4 years) shoe sizes: 3.5-10 Children (5-7 ) shoe sizes: 10.5-3 Youth/Juniors (7-12) shoe sizes: 3.5-7 Women’s shoe sizes: 4-13 Men’s shoe sizes 6-16Shoe Size: *Shoe Department: *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sShoe Width: *Please select one...NormalWideWhat are you in need of this Christmas? *What essentials do you need (winter clothes, jackets, shoes for work.etc)? Please do not put down gift cards.What would you like to get for Christmas? *What are you into (music, art, gaming, Legos, LOL dolls, Paw Patrol, etc.)? Please stay away from putting down gift cards.PreviousNext8TH FAMILY MEMBER'S INFORMATION Please be as specific as possible when filling out the next portion of the intake form. Be as detailed as possible in describing what each family member really needs and what they would really want for Christmas, and please stay away from putting gift cards down as a choice. Family Member's First Name *Adult (18 years and older) or Child 8? *AdultChildAge? *Grade in School? *Gender *MaleFemaleWhen inputting the sizes for clothing and shoes, please also provide the appropriate department so that we get the right size for each family member. Infants 0-24 months T-Toddler 2T-5T C-Children Size 4C- for ages 3 to 4 Size 5C- ages 4 to 5 Size 6C- ages 5 to 6 6X(G)/7(B)- ages 6 to 7 Youth/Junior Small- sizes 8-10 Medium- sizes 12-14 Large- sizes 16-18 Xtra Large- size 18 W-Women''s XS (extra small)- Top sizes 0-2/ Waist 24/25 Small- Top sizes 4-6/ Waist 26/27 Medium-sizes 8-10 Waist 28/29 Large-sizes 12-14 Waist 30/31 XL- sizes 16-18 Waist 32/33 XXL- sizes 20-22 Waist 34/35 XXL-sizes 24-26 Waist 36/37 XXXL- sizes 28-32 Waist 38/39 M-Men's XS (extra small)- Top sizes 30-32/ Waist 26/29 Small- Top sizes 34-36/ Waist 29/31 Medium-sizes 38-40 Waist 31/33 Large-sizes 42-44 Waist 33/36 XL- sizes 46-48 Waist 36/39 XXL- sizes 50-52 Waist 40/44 XXL-sizes 54-56 Waist 44/48Shirt/Top Size: *Clothing Department: *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sPants/Bottom Size: *Clothing Department: *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sDifferent Shoe Sizes: Infants (0-9m) shoe sizes:0-3 Toddlers (9-4 years) shoe sizes: 3.5-10 Children (5-7 ) shoe sizes: 10.5-3 Youth/Juniors (7-12) shoe sizes: 3.5-7 Women’s shoe sizes: 4-13 Men’s shoe sizes 6-16Shoe Size: *Shoe Department: *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sShoe Width: *Please select one...NormalWideWhat are you in need of this Christmas? *What essentials do you need (winter clothes, jackets, shoes for work.etc)? Please do not put down gift cards.What would you like to get for Christmas? *What are you into (music, art, gaming, Legos, LOL dolls, Paw Patrol, etc.)? Please stay away from putting down gift cards.PreviousNext9TH FAMILY MEMBER'S INFORMATION Please be as specific as possible when filling out the next portion of the intake form. Be as detailed as possible in describing what each family member really needs and what they would really want for Christmas, and please stay away from putting gift cards down as a choice. Family Member's First Name *Adult (18 years and older) or Child 9? *AdultChildAge? *Grade in School? *Gender *MaleFemaleWhen inputting the sizes for clothing and shoes, please also provide the appropriate department so that we get the right size for each family member. Infants 0-24 months T-Toddler 2T-5T C-Children Size 4C- for ages 3 to 4 Size 5C- ages 4 to 5 Size 6C- ages 5 to 6 6X(G)/7(B)- ages 6 to 7 Youth/Junior Small- sizes 8-10 Medium- sizes 12-14 Large- sizes 16-18 Xtra Large- size 18 W-Women''s XS (extra small)- Top sizes 0-2/ Waist 24/25 Small- Top sizes 4-6/ Waist 26/27 Medium-sizes 8-10 Waist 28/29 Large-sizes 12-14 Waist 30/31 XL- sizes 16-18 Waist 32/33 XXL- sizes 20-22 Waist 34/35 XXL-sizes 24-26 Waist 36/37 XXXL- sizes 28-32 Waist 38/39 M-Men's XS (extra small)- Top sizes 30-32/ Waist 26/29 Small- Top sizes 34-36/ Waist 29/31 Medium-sizes 38-40 Waist 31/33 Large-sizes 42-44 Waist 33/36 XL- sizes 46-48 Waist 36/39 XXL- sizes 50-52 Waist 40/44 XXL-sizes 54-56 Waist 44/48Shirt/Top Size: *Clothing Department: *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sPants/Bottom Size: *Clothing Department: *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sDifferent Shoe Sizes: Infants (0-9m) shoe sizes:0-3 Toddlers (9-4 years) shoe sizes: 3.5-10 Children (5-7 ) shoe sizes: 10.5-3 Youth/Juniors (7-12) shoe sizes: 3.5-7 Women’s shoe sizes: 4-13 Men’s shoe sizes 6-16Shoe Size: *Shoe Department: *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sShoe Width: *Please select one...NormalWideWhat are you in need of this Christmas? *What essentials do you need (winter clothes, jackets, shoes for work.etc)? Please do not put down gift cards.What would you like to get for Christmas? *What are you into (music, art, gaming, Legos, LOL dolls, Paw Patrol, etc.)? Please stay away from putting down gift cards.PreviousNext10TH FAMILY MEMBER'S INFORMATION Please be as specific as possible when filling out the next portion of the intake form. Be as detailed as possible in describing what each family member really needs and what they would really want for Christmas, and please stay away from putting gift cards down as a choice. Family Member's First Name *Adult (18 years and older) or Child 10? *AdultChildAge? *Grade in School? *Gender *MaleFemaleWhen inputting the sizes for clothing and shoes, please also provide the appropriate department so that we get the right size for each family member. Infants 0-24 months T-Toddler 2T-5T C-Children Size 4C- for ages 3 to 4 Size 5C- ages 4 to 5 Size 6C- ages 5 to 6 6X(G)/7(B)- ages 6 to 7 Youth/Junior Small- sizes 8-10 Medium- sizes 12-14 Large- sizes 16-18 Xtra Large- size 18 W-Women''s XS (extra small)- Top sizes 0-2/ Waist 24/25 Small- Top sizes 4-6/ Waist 26/27 Medium-sizes 8-10 Waist 28/29 Large-sizes 12-14 Waist 30/31 XL- sizes 16-18 Waist 32/33 XXL- sizes 20-22 Waist 34/35 XXL-sizes 24-26 Waist 36/37 XXXL- sizes 28-32 Waist 38/39 M-Men's XS (extra small)- Top sizes 30-32/ Waist 26/29 Small- Top sizes 34-36/ Waist 29/31 Medium-sizes 38-40 Waist 31/33 Large-sizes 42-44 Waist 33/36 XL- sizes 46-48 Waist 36/39 XXL- sizes 50-52 Waist 40/44 XXL-sizes 54-56 Waist 44/48Shirt/Top Size: *Clothing Department: *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sPants/Bottom Size: *Clothing Department: *Please select oneInfantsToddlersChildrenYouth/JuniorsWomen'sMen'sDifferent Shoe Sizes: Infants (0-9m) shoe sizes:0-3 Toddlers (9-4 years) shoe sizes: 3.5-10 Children (5-7 ) shoe sizes: 10.5-3 Youth/Juniors (7-12) shoe sizes: 3.5-7 Women’s shoe sizes: 4-13 Men’s shoe sizes 6-16Shoe Size: *Shoe Department: *Please select one...InfantsToddlersChildrenYouth/JuniorsWomen'sMen'sShoe Width: *Please select one...NormalWideWhat are you in need of this Christmas? *What essentials do you need (winter clothes, jackets, shoes for work.etc)? Please do not put down gift cards.What would you like to get for Christmas? *What are you into (music, art, gaming, Legos, LOL dolls, Paw Patrol, etc.)? Please stay away from putting down gift cards.PreviousSubmit Sign up for our newsletter Keep up with what H.E.L.P is doing in the community by signing up for our newsletter. This will give you the opportunity to be in the know, and where you might want to jump in and volunteer. Please enable JavaScript in your browser to complete this form.Name *FirstLastEnter your email *PhoneSign Up