Citizens

Floyd County Christmas for Children Application

The purpose of Christmas for Children (CFC) is to provide supplemental gifts during the holidays for children (age newborn to high school senior and unmarried) of families who are of low income or experiencing financial problems and live in Floyd County. The primary focus of CFC is on the needs of low income children. CFC intends to treat everyone as fairly as possible and to do our best to meet reasonable requests listed on applications. CFC does not accept requests for bikes, food, or high-dollar electronics, there are other organizations to help with these items. CFC is not limited to families receiving public assistance. During the application screening process additional information may be required in order to process the application. After submitting this application, if there is a change of address or contact information, please notify the CFC committee immediately by calling 540-745-3370. Applications are kept confidential. Information provided is only available for processing.

Please complete all boxes

Person(s) other than the Parent/Guardian listed above who are authorized to pick up the CFC Christmas package must be listed here: PHOTO ID MUST BE PRESENTED AT TIME OF PICK UP.

I understand that submission of this application does not ensure I will receive Christmas for Children assistance. I understand that my application will be reviewed and evaluated, and that I will receive timely notification, in person or through my preferred method of communication, of its acceptance or rejection.

I authorize Christmas for Children and its volunteers to obtain and/or release information relating to this application among agencies providing services for Floyd County children similar to those services provided by Christmas for Children. Such agencies include, but are not limited to, Floyd County Department of Social Services, NRV Floyd Community Action, United Way, churches, schools and other organizations. I agree that CFC may contact me during this application process for additional information.

By signing below, I affirm that the information provided in the application process is true and correct. I understand that if I misrepresent any information on this application, then I will be permanently banned from the CFC program.

I agree to indemnify and hold harmless all above-mentioned parties from and against all claims, suits, damages, costs, losses and expenses in any manner resulting from or arising out of my participation in the Christmas for Children program.

Signature of Adult Family Member/Parent/Guardian


Signature verifies all information above is correct


Floyd County Christmas for Children Application

This program focuses on basic needs. Since this is a supplemental program, CFC intends to assist but cannot provide what may be called a *total Christmas package*. As funding allows CFC will provide for each child an outfit of clothing (to include a shirt, pants, underwear, socks and shoes) and at least 1 *Wish List* gift.

The parent/guardian is asked to provide CFC with a “Wish List” of up to 4 choices of toy or fun gift for each child. (This list is to be completed within the application.) Please be very specific. CFC cannot guarantee any wish will be granted but the volunteers will make every effort to fulfill at least 1 gift choice, as long as there are resources to do so.

After submitting an application an interview is required. A list of required documents can be found on our website.

Christmas time is coming!
May the spirit of Christmas fill our hearts,
And love surround us in the season!

Merry Christmas From The Christmas for Children Committee!