Christmas Client Registration Form

Applicant Information

A household can ONLY register at 1 of either Project SHARE or Salvation Army

Family Information

Monthly Income*

Identify your source(s) of income for all household members:

After submitting your application you may be contacted by client services to provide additional information and documentation.

Gift Wish List

It is NECESSARY to fill this out to help us provide gifts the children in the household








I give permission to Project SHARE to give my household information to groups involved in the affective administering of Project SHARE Christmas Program (e.g. – names, ages, and gender of children, address, phone #)

Are you an International student attending post-secondary education at a local college or university?

RECIPIENT UNDERSTANDING AND DECLARATION OF INFORMATION

I declare that the information given is truthful and that income information has not been withheld or misrepresented. Misrepresentation includes claiming single status rather than couple status, children and other adults residing in the residence that change the status to family. Misrepresentation of any information may result in being dismissed from using the Project SHARE Christmas Program. Should questions arise based on the information provided, a further request for documentation may be requested. ProjectSHARE reserves the right to verify the information provided.