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THE CHRISTMAS SHOP AT KINGS
Pleas
e fill out this form and someone will contact you about visiting our Christmas shop soon!
Parents
First Name
Last Name
Email
Phone Number
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Please let us know how many Children you have, and how we can bless them this Christmas?
Child #1
WHAT IS YOUR CHILD'S NAME
AGE OF YOUR CHILD
Gender
Male
Female
I'd rather not say
WHAT ARE SOME NEEDS YOUR CHILD HAS
Child #2
WHAT IS YOUR CHILD'S NAME
AGE OF YOUR CHILD
Gender
Male
Female
I'd rather not say
WHAT ARE SOME NEEDS YOUR CHILD HAS
Child #3
WHAT IS YOUR CHILD'S NAME
AGE OF YOUR CHILD
Gender
Male
Female
I'd rather not say
WHAT ARE SOME NEEDS YOUR CHILD HAS
Child #4
WHAT IS YOUR CHILD'S NAME
AGE OF YOUR CHILD
Gender
Male
Female
I'd rather not say
WHAT ARE SOME NEEDS YOUR CHILD HAS
Child #5
WHAT IS YOUR CHILD'S NAME
AGE OF YOUR CHILD
Gender
Male
Female
I'd rather not say
WHAT ARE SOME NEEDS YOUR CHILD HAS
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