top of page
Home
Blog
Projects
Events
About
Todd Mission
CHRISTMAS TASK FORCE
Interview Form
Tell us about your family and what they like:
Your first name
Your last name
Address
Email
Phone
What are the names, ages, and gender of all family members in your home:
Does your child have special needs, food allergies, diabetic, etc?
What would your child like for Christmas?
CHILD'S FAVORITE COLOR
CHILD'S FAVORITE CHARACTER
CHILD'S FAVORITE HOBBY
CHILD'S FAVORITE COLLECTABLE
CHILD'S FAVORITE CANDY
Household needs? (Vacuum cleaner, microwave, stove, cleaning supplies, washer/dryer, furniture, etc.) If yes what items are needed?
Does your family need beds? (Please include for who and bed size)
What are your specific household needs not covered above?
Color preference for towels:
Color preference for sheets:
Do you have animals/pets? If yes, what type?
Is food needed for animals/pets: If yes, what type?
Submit
bottom of page