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JUST FOR

KIDS FOUNDATION

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First name

Last name

Email

Address

Phone

Household Size

Do you need assistance with a holiday meal?

Yes

No

Child's Name

Child's Birthday

Please list 3-4 things your child wants/needs or is interested in.

Eligibility Guidelines

I accept terms & conditions

This program is no longer accepting applications.

Call us:

863-216-8980

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