Holiday Angels

Holiday Angels Family Registration

Holiday Angels is designed to help bring joy, hope, and support to families in our community during the holiday season. If your family is in need of assistance this holiday season, please complete the registration form below. Submitting a registration does not guarantee assistance. Our team will review submissions and follow up with eligible families.

Family Information

Parent/Guardian Full Name*

Email Address*

Phone Number*

Home Address*

City*

State*

ZIP Code*

Family Details

Number of people in household*

Number of children in household*

Names of children*

Children's ages*

Children's genders*

Clothing sizes*

Shoe sizes*

Holiday Needs

What type of holiday assistance does your family need?

Please tell us anything else you would like us to know about your family's needs.(optional)

Additional Information

Is there anything that would help us better understand your family's situation?(optional)

How did you hear about Holiday Angels?

AcknowledgementI certify that the information provided is accurate to the best of my knowledge. I understand that completing this form does not guarantee assistance and that Healed Girl Academy may contact me for additional information.