Christmas Program Application

Christmas Application

Step 1 of 5

Participation in this program is limited and will be filled on a first come, first served basis. Please allow two full weeks to HCC Staff to process all applications. 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 hand written letter stating your current situation
- A copy of each child's birth certificate OR proof of guardianship (NO SSN 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 check stub (if possible)
- A copy of food stamps 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 served basis. Upon receipt of COMPLETE application and documentation, 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 also agree to allow pictures of you and/or your children in any HCC publication.

By submitting this form you agree to HCC’s Waiver & Release of Liability, Assumption of Risk, and Indemnity Agreement located on houstonchildrenscharity.org/waiver/

Incomplete and Walk-in applications 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 Address Line 2 City State ZIP Code
Email*
Enter Email Confirm Email
Home Phone
Cell Phone*
Work Phone
Extension