RESTORATIVE JUSTICE
CHRISTMAS ANGELS REGISTRATION

Help support local families and make Christmas bright for children in need!

Christmas Angels Registration Form 2025

Comments

This field is for validation purposes and should be left unchanged.

Family Confirmation #

Only 2 adults per family are authorized to attend this event

TO ENTER RAFFLE PLEASE ARRIVE BY 12:30 PM

ADULTS INFORMATION:

Adult Name (1)(Required)

First Last

Adult Email (1)(Required)

Adult Phone (1)(Required)

Adult Name (2)

First Last

Adult Email (2)

Adult Phone (2)

Specify organization you were referred by:(Required)

Name of the person completing this form:(Required)

Did you participate in the Christmas Angels last year?(Required)

Yes

No

Family identifies as:(Required)

Exposed to Domestic Violence

Children with a parent in jail or prison

Children with a parent killed in violence

Enter Organization and Case Manager’s Name:(Required)

Enter Name Of Parent Incarcerated And Sf Number:(Required)

Enter The Name Of Parent Killed And Date:(Required)

Children Information

How many children do you want to register for this event?(Required)

CHILD ONE INFORMATION

NAME of child number ONE(Required)

First Last

AGE of child number ONE(Required)

Please enter 0 for Pregnant Mother, 00 for Newborn, 01 for 1 Month old, 03 for 3 months old, 1 for year old, etc…

GENDER of child number ONE(Required)

Boy

Girl

Child ONE accompanying adult’s relationships(Required)

CHILD TWO INFORMATION

NAME of child TWO(Required)

First Last

AGE of child TWO(Required)

Please enter 0 for Pregnant Mother, 00 for Newborn, 01 for 1 Month old, 03 for 3 months old, 1 for year old, etc…

GENDER of child TWO(Required)

Boy

Girl

Child TWO accompanying adult’s relationships(Required)

CHILD THREE INFORMATION

NAME of child THREE(Required)

First Last

AGE of child THREE(Required)

Please enter 0 for Pregnant Mother, 00 for Newborn, 01 for 1 Month old, 03 for 3 months old, 1 for year old, etc…

GENDER of child THREE(Required)

Boy

Girl

Child THREE accompanying adult’s relationships(Required)

CHILD FOUR INFORMATION

NAME of child FOUR(Required)

First Last

AGE of child FOUR(Required)

Please enter 0 for Pregnant Mother, 00 for Newborn, 01 for 1 Month old, 03 for 3 months old, 1 for year old, etc…

GENDER of child FOUR(Required)

Boy

Girl

Child FOUR accompanying adult’s relationships(Required)

CHILD FIVE INFORMATION

NAME of child FIVE(Required)

First Last

AGE of child FIVE(Required)

Please enter 0 for Pregnant Mother, 00 for Newborn, 01 for 1 Month old, 03 for 3 months old, 1 for year old, etc…

GENDER of child FIVE(Required)

Boy

Girl

Child FIVE accompanying adult’s relationships(Required)

CHILD SIX INFORMATION

NAME of child SIX(Required)

First Last

AGE of child SIX(Required)

Please enter 0 for Pregnant Mother, 00 for Newborn, 01 for 1 Month old, 03 for 3 months old, 1 for year old, etc…

GENDER of child SIX(Required)

Boy

Girl

Child SIX accompanying adult’s relationships(Required)

CHILD SEVEN INFORMATION

NAME of child SEVEN(Required)

First Last

AGE of child SEVEN(Required)

Please enter 0 for Pregnant Mother, 00 for Newborn, 01 for 1 Month old, 03 for 3 months old, 1 for year old, etc…

GENDER of child SEVEN(Required)

Boy

Girl

Child SEVEN accompanying adult’s relationships(Required)

CHILD EIGHT INFORMATION

NAME of child EIGHT(Required)

First Last

AGE of child EIGHT(Required)

Please enter 0 for Pregnant Mother, 00 for Newborn, 01 for 1 Month old, 03 for 3 months old, 1 for year old, etc…

GENDER of child EIGHT(Required)

Boy

Girl

Child EIGHT accompanying adult’s relationships(Required)

CHILD NINE INFORMATION

NAME of child NINE(Required)

First Last

AGE of child NINE(Required)

Please enter 0 for Pregnant Mother, 00 for Newborn, 01 for 1 Month old, 03 for 3 months old, 1 for year old, etc…

GENDER of child NINE(Required)

Boy

Girl

Child NINE accompanying adult’s relationships(Required)

CHILD TEN INFORMATION

NAME of child TEN(Required)

First Last

AGE of child TEN(Required)

Please enter 0 for Pregnant Mother, 00 for Newborn, 01 for 1 Month old, 03 for 3 months old, 1 for year old, etc…

GENDER of child TEN(Required)

Boy

Girl

Child TEN accompanying adult’s relationships(Required)

Thank you for joining the Christmas Angels Program!

RESTORATIVE JUSTICE CHRISTMAS ANGELS REGISTRATION

Christmas Angels Registration Form 2025

TO ENTER RAFFLE PLEASE ARRIVE BY 12:30 PM

ADULTS INFORMATION:

Children Information

CHILD ONE INFORMATION

CHILD TWO INFORMATION

CHILD THREE INFORMATION

CHILD FOUR INFORMATION

CHILD FIVE INFORMATION

CHILD SIX INFORMATION

CHILD SEVEN INFORMATION

CHILD EIGHT INFORMATION

CHILD NINE INFORMATION

CHILD TEN INFORMATION

Thank you for joining the Christmas Angels Program!

RESTORATIVE JUSTICE
CHRISTMAS ANGELS REGISTRATION