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Jesus Cares 2018


Jesus Cares Application:

Name *
Name
Phone *
Phone
Have you applied for any other assistance this Christmas?:
Where you approved?:
Name of organization:
Spouses Phone:
Spouses Date of Birth:
Spouses Employer:
Child's Name:
Age:
Date of Birth:
Gender:
Shirt size:
Pant size:
Shoe size:
Gift requests/needs:
Child's Name:
Age:
Date of Birth:
Gender:
Shirt Size:
Pant size:
Shoe size:
Gift requests/needs:
Child's Name:
Age:
Date of Birth:
Gender:
Shirt size:
Pant size:
Shoe size:
Gift requests/needs:
Child's Name:
Age:
Date of Birth:
Gender:
Shirt size:
Pant size:
Shoe size:
Gift requests/needs:
Child's Name:
Age:
Date of Birth:
Gender:
Shirt size:
Pant size:
Shoe size:
Gift requests/needs:
Child's Name:
Age:
Date of Birth:
Gender:
Shirt size:
Pant size:
Shoe size:
Gift requests/needs:
Earlier Event: October 27
Crosspoint Women: World Bazaar & Benefit
Later Event: December 10
Memory Cafe: Christmas SongFest!