Christmas Program Application

Christmas Application

Step 1 of 6

Participation in this program is limited and will be filled on a first come, first served basis. At the end of this application, you will be asked to upload the following documents. Please be prepared with pdf, png, gif, or jpg copies of these files.
- A handwritten letter stating your current situation
- A copy of each child's birth certificate OR proof of guardianship (NO SSN/PASSPORT CARDS)
- A copy of your valid photo ID
- A copy of your most current electric bill or most current phone bill with your current address
- Tax return or pay stub (if possible)
- A copy of the food stamp award letter, Medicaid letter, or any other form of government assistance award letters (if possible)
IMPORTANT! PLEASE READ: WE WILL NOT ACCEPT SSN CARDS. Participation in this program is limited and will be filled on a first-come, first-serve basis. Upon receipt of the COMPLETED application and paperwork, you will receive an appointment date in early December via mail or email. If your contact information changes (phone number or address), please call our office to update your information.

By submitting this form, you are also agreeing to allow photographs of yourself and/or your children in any HCC publication.

By submitting this form, you are agreeing to the HCC Waiver and Release of Liability, Assumption of Risk, and Indemnification Agreement located at houstonchildrenscharity.org/waiver/

Incomplete applications and walk-ins will NOT be accepted. EMAIL WILL NOT BE ACCEPTED.
Contact Information
Parent Name*
First Last
Spouse Name
First Last
Initials*
Enter your initials to indicate you have read and agree to this waiver.
Address*
Street Address City State ZIP Code
Email*
Enter Email Confirm Email
Home Phone
Cell Phone*
Work Phone
Extension