2024 Holiday Request Form

Happy Holidays! Please fill out the following form to request holiday gifts for your clients in need. Program Directors/Supervisors should be the only staff memebrs submitting a request, we want to avoid duplicates or errors.

Please submit your requests before December 6, as we will NOT be accepting any late requests.

If you have any questions please contact Toni-Ann Campbell at tocampbell@childrensvillage.org.

Make a Child Smile Holiday Request Form

Your Name(Required)

First Last

Your Email(Required)

Department(Required)

Location(Required)

Supervisor(Required)

Date Needed By (if known)

Number of People and Suggested Gifts

All fields are required. If no people are in a certain age group, please write 0 in the Names field and write N/A in the Gift Suggestion field. Thank you.

Names of Female Ages 0-18 Months (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Males Ages 0-18 Months (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Females Ages 2-5 (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Males Ages 2-5 (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Females Ages 6-10 (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Males ages 6-10 (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Females Ages 11-13 (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Males Ages 11-13 (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Females Ages 14-17 (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Males Ages 14-17 (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Females Ages 18-24 (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Males Ages 18-24 (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Adult Females (First name and last name initial)(Required)

Gift Suggestion(Required)

Names of Adult Males (First name and last name initial)(Required)

Gift Suggestion(Required)

Notes/Suggestions/Special Requests