Registration Form – Helping Hands for the Holidays

If you received access to this webpage through a message from IFCS, please complete the form below.

IFCS Enrichment Programs have service area and income guidelines. Please don’t waste your time filling out this form if you were not invited to do so by IFCS Staff. Instead, complete the Helping Hands for the Holidays Interest Form.

Family Program Registration for 2023:

About You: Parent/Legal Guardian/Caregiver

Name *

First

Last

Date of Birth *

Gender Identity *

Marital Status *

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Is this your mailing address? (If you are accepted to the program, you will receive your reminder postcard at the mailing address.)

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Housing Type *

Phone *

Email *

Primary Language Spoken *

Ethnicity *

Do you identify as *

Highest Level of Education *

Employment Type *

Do you receive SNAP (Supplemental Nutrition Assistance Program, formerly known as Food Stamps)? *

Other Social Programs Received *

Aid to Needy Disabled (AND)
Aid to the Blind (AB)
Commodity Supplemental Food Program (CSFP)
Low-Income Energy Assistance program (LEAP)
Old Age Pension (OAP)
Supplemental Security Income (SSI)
Temporary Assistance to Needy Families (TANF/POWER)
None
Prefer not to answer

How did you hear about IFCS? *

IFCS Email Communication
Friend/Family Referral
Local School
Social Media
Internet Search (Google, Bing, etc.)
Other
Prefer not to answer

I have participated in IFCS' Helping Hands for the Holidays Program in past years. *

How many years? *

Alternate Contact Name (You must enter a name and phone/email for someone who IFCS can reach IN CASE YOU ARE NOT REACHABLE. Putting "None" or your own name will disqualify you from the program, because IFCS has limited resources and wants you to have the best chance possible of participating in the program.) *

Alternate contact MUST be different from your information.

Alternate Contact's Phone/Email *

I have entered an Alternate Contact above who IFCS can contact in case I am not reachable. *

Failure to provide a valid Alternate Contact disqualifies you from this IFCS program.

Due to limited resources, IFCS requires that an Alternate Contact name/phone/email be provided for someone we can reach IN CASE YOU ARE NOT REACHABLE. We have needed to use this information in the past, to reach program participants who were navigating an emergency. Because we want you to have the best chance of participating in this program, we have made this a requirement to prevent resources from being wasted.

Household Size (including adults and minor children) *

My household's monthly income is between $0 - $3,287

My household's monthly income is between $0 - $4,143

My household's monthly income is between $0 - $5,000

My household's monthly income is between $0 - $5,857

My household's monthly income is between $0 - $6,713

My household's monthly income is between $0 - $7,570

My household's monthly income is between $0 - $8,427

My household's monthly income is between $0 - $9,284

My household's monthly income is between $0 - $10,141

Monthly Income Amount *

Number of Children Registering for this Program (age newborn to age 10 only; see note below for details) *

NOTE: To be eligible for this program, children must be born between January 1, 2013 and October 20, 2023.

How many members of your household are NOT eligible for holiday gift assistance (not including you)? *

This number + the number of children registering for the program + you = the total listed for your household size (including adults and minor children).

What would holiday gift support mean to your family? *

Child ONE Details:

Child ONE Name *

First

Last

Child ONE Relationship to Applicant *

Child's Relationship to Applicant *

Child ONE Ethnicity *

Does Child ONE have a disability?

Yes
No
Prefer not to answer

Child ONE Date of Birth *

NOTE: To be eligible for this program, children must be born between January 1, 2013 and October 20, 2023.

Child ONE Gender Identity *

What age category does Child ONE belong to? *

Your child will receive the Baby's First Holiday Gift Set:

Fisher Price Tamborine Maracas

8 pc Huanger Baby Rattle Set

Cuddle Lights Pal Bear

Your child will receive the Jolly Toddler Express Gift Set:

Mega Bloks ABC Musical Train

B/O Learning Phone

Cuddle Lights Pal Bear

There are 2 Gift Set options for this age group, each containing different items. Choose the best option for your your 3-5 year old: *

Creative Little Doctor (click to see items included in this Gift Set)
Pals on the Go (click to see items included in this Gift Set)

The Creative Little Doctor Gift Set includes:

Little Dr Activity Set

Emoji Pillow

25 Key Electronic Organ w/Mic

Nature Play Dough

The Pals on the Go Gift Set includes:

Paw Patrol Pop-Up Game

Emoji Pillow

Purple Chrome Wheels Mini Plus Guide Scooter

Nature Play Dough

There are 2 Gift Set options for this age group, each containing different items. Choose the best option for your your 6-8 year old: *

Busy Bee (click to see items included in this Gift Set)
Big Kid on the Go (click to see items included in this Gift Set)

The Busy Bee Gift Set includes:

Googly Eyes Game

Bubble Blaster

Emoji Pillow

PUP002 - Origami dog

The Big Kid on the Go Gift Set includes:

ToMy Puff Ball Game

Emoji Pillow

28" Kugoo Blue Scooter with Lights

Educational Card Games 2-in-1

There are 2 Gift Set options for this age group, each containing different items. Choose the best option for your your 9-10 year old: *

Stars & Art (click to see items included in this Gift Set)
Curious Kid on the Go (click to see items included in this Gift Set)

The Stars & Art Gift Set includes:

66 Media Art Set

FAO Schwarz Space Projector

Emoji Pillow

Wicked Glow Boomergang

The Curious Kid on the Go Gift Set includes:

Effective Detective Game

Emoji Pillow

28" Kugoo Red Scooter with Lights

Wicked Glow Boomergang

Child TWO Details:

Child TWO Name *

First

Last

Child TWO Relationship to Applicant *

Child's Relationship to Applicant *

Child TWO Ethnicity *

Does Child TWO have a disability? *

Yes
No
Prefer not to answer

Child TWO Date of Birth *

NOTE: To be eligible for this program, children must be born between January 1, 2013 and October 20, 2023.

Child TWO Gender Identity *

What age category does Child TWO belong to? *

Your child will receive the Baby's First Holiday Gift Set:

Fisher Price Tamborine Maracas

8 pc Huanger Baby Rattle Set

Cuddle Lights Pal Bear

Your child will receive the Jolly Toddler Express Gift Set:

Mega Bloks ABC Musical Train

B/O Learning Phone

Cuddle Lights Pal Bear

Please choose one of these gift sets for your 3-5 year old: *

Creative Little Doctor
Pals on the Go

The Creative Little Doctor Gift Set includes:

Little Dr Activity Set

Emoji Pillow

25 Key Electronic Organ w/Mic

Nature Play Dough

The Pals on the Go Gift Set includes:

Paw Patrol Pop-Up Game

Emoji Pillow

Purple Chrome Wheels Mini Plus Guide Scooter

Nature Play Dough

Please choose one of these gift sets for your 6-8 year old: *

Busy Bee
Big Kid on the Go

The Busy Bee Gift Set includes:

Googly Eyes Game

Bubble Blaster

Emoji Pillow

PUP002 - Origami dog

The Big Kid on the Go Gift Set includes:

ToMy Puff Ball Game

Emoji Pillow

28" Kugoo Blue Scooter with Lights

Educational Card Games 2-in-1

Please choose one of these gift sets for your 9-10 year old: *

Stars & Art
Curious Kid on the Go

The Stars & Art Gift Set includes:

66 Media Art Set

FAO Schwarz Space Projector

Emoji Pillow

Wicked Glow Boomergang

The Curious Kid on the Go Gift Set includes:

Effective Detective Game

Emoji Pillow

28" Kugoo Red Scooter with Lights

Wicked Glow Boomergang

Child THREE Details:

Child THREE Name *

First

Last

Child THREE Relationship to Applicant *

Child's Relationship to Applicant *

Child THREE Ethnicity *

Does Child THREE have a disability? *

Yes
No
Prefer not to answer

Child THREE Date of Birth *

NOTE: To be eligible for this program, children must be born between January 1, 2013 and October 20, 2023.

Child THREE Gender Identity *

What age category does Child THREE belong to? *

Your child will receive the Baby's First Holiday Gift Set:

Fisher Price Tamborine Maracas

8 pc Huanger Baby Rattle Set

Cuddle Lights Pal Bear

Your child will receive the Jolly Toddler Express Gift Set:

Mega Bloks ABC Musical Train

B/O Learning Phone

Cuddle Lights Pal Bear

Please choose one of these gift sets for your 3-5 year old: *

Creative Little Doctor
Pals on the Go

The Creative Little Doctor Gift Set includes:

Little Dr Activity Set

Emoji Pillow

25 Key Electronic Organ w/Mic

Nature Play Dough

The Pals on the Go Gift Set includes:

Paw Patrol Pop-Up Game

Emoji Pillow

Purple Chrome Wheels Mini Plus Guide Scooter

Nature Play Dough

Please choose one of these gift sets for your 6-8 year old: *

Busy Bee
Big Kid on the Go

The Busy Bee Gift Set includes:

Googly Eyes Game

Bubble Blaster

Emoji Pillow

PUP002 - Origami dog

The Big Kid on the Go Gift Set includes:

ToMy Puff Ball Game

Emoji Pillow

28" Kugoo Blue Scooter with Lights

Educational Card Games 2-in-1

Please choose one of these gift sets for your 9-10 year old: *

Stars & Art
Curious Kid on the Go

The Stars & Art Gift Set includes:

66 Media Art Set

FAO Schwarz Space Projector

Emoji Pillow

Wicked Glow Boomergang

The Curious Kid on the Go Gift Set includes:

Effective Detective Game

Emoji Pillow

28" Kugoo Red Scooter with Lights

Wicked Glow Boomergang

Child FOUR Details:

Child FOUR Name *

First

Last

Child FOUR Relationship to Applicant *

Child's Relationship to Applicant *

Child FOUR Ethnicity *

Does Child FOUR have a disability? *

Yes
No
Prefer not to answer

Child FOUR Date of Birth *

NOTE: To be eligible for this program, children must be born between January 1, 2013 and October 20, 2023.

Child FOUR Gender Identity *

What age category does Child FOUR belong to? *

Your child will receive the Baby's First Holiday Gift Set:

Fisher Price Tamborine Maracas

8 pc Huanger Baby Rattle Set

Cuddle Lights Pal Bear

Your child will receive the Jolly Toddler Express Gift Set:

Mega Bloks ABC Musical Train

B/O Learning Phone

Cuddle Lights Pal Bear

Please choose one of these gift sets for your 3-5 year old: *

Creative Little Doctor
Pals on the Go

The Creative Little Doctor Gift Set includes:

Little Dr Activity Set

Emoji Pillow

25 Key Electronic Organ w/Mic

Nature Play Dough

The Pals on the Go Gift Set includes:

Paw Patrol Pop-Up Game

Emoji Pillow

Purple Chrome Wheels Mini Plus Guide Scooter

Nature Play Dough

Please choose one of these gift sets for your 6-8 year old: *

Busy Bee
Big Kid on the Go

The Busy Bee Gift Set includes:

Googly Eyes Game

Bubble Blaster

Emoji Pillow

PUP002 - Origami dog

The Big Kid on the Go Gift Set includes:

ToMy Puff Ball Game

Emoji Pillow

28" Kugoo Blue Scooter with Lights

Educational Card Games 2-in-1

Please choose one of these gift sets for your 9-10 year old: *

Stars & Art
Curious Kid on the Go

The Stars & Art Gift Set includes:

66 Media Art Set

FAO Schwarz Space Projector

Emoji Pillow

Wicked Glow Boomergang

The Curious Kid on the Go Gift Set includes:

Effective Detective Game

Emoji Pillow

28" Kugoo Red Scooter with Lights

Wicked Glow Boomergang

Child FIVE Details:

Child FIVE Name *

First

Last

Child FIVE Relationship to Applicant *

Child's Relationship to Applicant *

Child FIVE Ethnicity *

Does Child FIVE have a disability? *

Yes
No
Prefer not to answer

Child FIVE Date of Birth *

NOTE: To be eligible for this program, children must be born between January 1, 2013 and October 20, 2023.

Child FIVE Gender Identity *

What age category does Child FIVE belong to? *

Your child will receive the Baby's First Holiday Gift Set:

Fisher Price Tamborine Maracas

8 pc Huanger Baby Rattle Set

Cuddle Lights Pal Bear

Your child will receive the Jolly Toddler Express Gift Set:

Mega Bloks ABC Musical Train

B/O Learning Phone

Cuddle Lights Pal Bear

Please choose one of these gift sets for your 3-5 year old: *

Creative Little Doctor
Pals on the Go

The Creative Little Doctor Gift Set includes:

Little Dr Activity Set

Emoji Pillow

25 Key Electronic Organ w/Mic

Nature Play Dough

The Pals on the Go Gift Set includes:

Paw Patrol Pop-Up Game

Emoji Pillow

Purple Chrome Wheels Mini Plus Guide Scooter

Nature Play Dough

Please choose one of these gift sets for your 6-8 year old: *

Busy Bee
Big Kid on the Go

The Busy Bee Gift Set includes:

Googly Eyes Game

Bubble Blaster

Emoji Pillow

PUP002 - Origami dog

The Big Kid on the Go Gift Set includes:

ToMy Puff Ball Game

Emoji Pillow

28" Kugoo Blue Scooter with Lights

Educational Card Games 2-in-1

Please choose one of these gift sets for your 9-10 year old: *

Stars & Art
Curious Kid on the Go

The Stars & Art Gift Set includes:

66 Media Art Set

FAO Schwarz Space Projector

Emoji Pillow

Wicked Glow Boomergang

The Curious Kid on the Go Gift Set includes:

Effective Detective Game

Emoji Pillow

28" Kugoo Red Scooter with Lights

Wicked Glow Boomergang

Child SIX Details:

Child SIX Name *

First

Last

Child SIX Relationship to Applicant *

Child's Relationship to Applicant *

Child SIX Ethnicity *

Does Child SIX have a disability? *

Yes
No
Prefer not to answer

Child SIX Date of Birth *

NOTE: To be eligible for this program, children must be born between January 1, 2013 and October 20, 2023.

Child SIX Gender Identity *

What age category does Child SIX belong to? *

Your child will receive the Baby's First Holiday Gift Set:

Fisher Price Tamborine Maracas

8 pc Huanger Baby Rattle Set

Cuddle Lights Pal Bear

Your child will receive the Jolly Toddler Express Gift Set:

Mega Bloks ABC Musical Train

B/O Learning Phone

Cuddle Lights Pal Bear

Please choose one of these gift sets for your 3-5 year old: *

Creative Little Doctor
Pals on the Go

The Creative Little Doctor Gift Set includes:

Little Dr Activity Set

Emoji Pillow

25 Key Electronic Organ w/Mic

Nature Play Dough

The Pals on the Go Gift Set includes:

Paw Patrol Pop-Up Game

Emoji Pillow

Purple Chrome Wheels Mini Plus Guide Scooter

Nature Play Dough

Please choose one of these gift sets for your 6-8 year old: *

Busy Bee
Big Kid on the Go

The Busy Bee Gift Set includes:

Googly Eyes Game

Bubble Blaster

Emoji Pillow

PUP002 - Origami dog

The Big Kid on the Go Gift Set includes:

ToMy Puff Ball Game

Emoji Pillow

28" Kugoo Blue Scooter with Lights

Educational Card Games 2-in-1

Please choose one of these gift sets for your 9-10 year old: *

Stars & Art
Curious Kid on the Go

The Stars & Art Gift Set includes:

66 Media Art Set

FAO Schwarz Space Projector

Emoji Pillow

Wicked Glow Boomergang

The Curious Kid on the Go Gift Set includes:

Effective Detective Game

Emoji Pillow

28" Kugoo Red Scooter with Lights

Wicked Glow Boomergang

For any additional children age newborn to 10 years, please indicate information in the field below (using the same categories listed for previous children):

List for each additional child: Name, Relationship to Applicant, Ethnicity, Disability, Date of Birth, and Age category

Additional Household Member ONE

At the beginning of this form, you told us how may members of your household are NOT eligible for gift support. Please provide details about these additional household members:

Additional Household Member ONE Name *

First

Last

Additional Household Member ONE Date of Birth *

Additional Household Member ONE Relationship to Applicant *

Additional Household Member ONE Ethnicity *

Additional Household Member ONE is *

Veteran
Disabled
Homebound
None of the above
Prefer not to answer

Additional Household Member TWO

Additional Household Member TWO Name *

First

Last

Additional Household Member TWO Date of Birth *

Additional Household Member TWO Relationship to Applicant *

Additional Household Member TWO Ethnicity *

Additional Household Member TWO is *

Veteran
Disabled
Homebound
None of the above
Prefer not to answer

Additional Household Member THREE

Additional Household Member THREE Name *

First

Last

Additional Household Member THREE Date of Birth *

Additional Household Member THREE Relationship to Applicant *

Additional Household Member THREE Ethnicity *

Additional Household Member THREE is *

Veteran
Disabled
Homebound
None of the above
Prefer not to answer

Additional Household Member FOUR

Additional Household Member FOUR Name *

First

Last

Additional Household Member FOUR Date of Birth *

Additional Household Member FOUR Relationship to Applicant *

Additional Household Member FOUR Ethnicity *

Additional Household Member FOUR is *

Veteran
Disabled
Homebound
None of the above
Prefer not to answer

Additional Household Member FIVE

Additional Household Member FIVE Name *

First

Last

Additional Household Member FIVE Date of Birth *

Additional Household Member FIVE Relationship to Applicant *

Additional Household Member FIVE Ethnicity *

Additional Household Member FIVE is *

Veteran
Disabled
Homebound
None of the above
Prefer not to answer

Consent and Agreement

All 4 of the following boxes must be checked to participate in IFCS' Helping Hands for the Holidays Program

Consent #1 *

I attest my household's gross monthly income is within the limits listed in the Eligibility Guidelines.

Consent #2 *

The children listed on this registration form are in my care, and I understand that no gift substitutions will be possible.

Consent #3 *

I give permission to IFCS to provide the above (non-confidential) information to program sponsors. I understand that sponsors will not provide all of the needed supplies for the school year.

Consent #4 *

I understand that failure to pick up Helping Hands for the Holidays will prohibit me from future participation in the program.

Consent #5 *

I grant IFCS permission to use photos and comments (written or verbal) of Helping Hands for the Holidays program participants on social media, the IFCS website and communications to supporters and funders.

Comment or Message (optional)

Add any additional information or comments you'd like to leave for the IFCS Staff above.

Program Participant News - Receive IFCS news and program updates

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Family Program Registration for 2023:

About You: Parent/Legal Guardian/Caregiver

Failure to provide a valid Alternate Contact disqualifies you from this IFCS program.

Child ONE Details:

Your child will receive the Baby's First Holiday Gift Set:

Your child will receive the Jolly Toddler Express Gift Set:

The Creative Little Doctor Gift Set includes:

The Pals on the Go Gift Set includes:

The Busy Bee Gift Set includes:

The Big Kid on the Go Gift Set includes:

The Stars & Art Gift Set includes:

The Curious Kid on the Go Gift Set includes:

Child TWO Details:

Your child will receive the Baby's First Holiday Gift Set:

Your child will receive the Jolly Toddler Express Gift Set:

The Creative Little Doctor Gift Set includes:

The Pals on the Go Gift Set includes:

The Busy Bee Gift Set includes:

The Big Kid on the Go Gift Set includes:

The Stars & Art Gift Set includes:

The Curious Kid on the Go Gift Set includes:

Child THREE Details:

Your child will receive the Baby's First Holiday Gift Set:

Your child will receive the Jolly Toddler Express Gift Set:

The Creative Little Doctor Gift Set includes:

The Pals on the Go Gift Set includes:

The Busy Bee Gift Set includes:

The Big Kid on the Go Gift Set includes:

The Stars & Art Gift Set includes:

The Curious Kid on the Go Gift Set includes:

Child FOUR Details:

Your child will receive the Baby's First Holiday Gift Set:

Your child will receive the Jolly Toddler Express Gift Set:

The Creative Little Doctor Gift Set includes:

The Pals on the Go Gift Set includes:

The Busy Bee Gift Set includes:

The Big Kid on the Go Gift Set includes:

The Stars & Art Gift Set includes:

The Curious Kid on the Go Gift Set includes:

Child FIVE Details:

Your child will receive the Baby's First Holiday Gift Set:

Your child will receive the Jolly Toddler Express Gift Set:

The Creative Little Doctor Gift Set includes:

The Pals on the Go Gift Set includes:

The Busy Bee Gift Set includes:

The Big Kid on the Go Gift Set includes:

The Stars & Art Gift Set includes:

The Curious Kid on the Go Gift Set includes:

Child SIX Details:

Your child will receive the Baby's First Holiday Gift Set:

Your child will receive the Jolly Toddler Express Gift Set:

The Creative Little Doctor Gift Set includes:

The Pals on the Go Gift Set includes:

The Busy Bee Gift Set includes:

The Big Kid on the Go Gift Set includes:

The Stars & Art Gift Set includes:

The Curious Kid on the Go Gift Set includes:

Additional Household Member ONE

Additional Household Member TWO

Additional Household Member THREE

Additional Household Member FOUR

Additional Household Member FIVE

Consent and Agreement

Eligibility and Income Guidelines

Non-Discrimination Statement