CFO Application Page

Christmas for Orphans Application

Tell us how to contact you

Name *

First

Last

What is the name of the primary contact?

Email *

Confirm Email

What is the email of the primary contact?

Phone

Decedent in Name

Address *

Address Line 1

Address Line 2

City

State

Zip Code

What is the address of the primary contact?

Tell us about the parent or primary guardian that passed away

Decedent Relationship *

What was the relationship between the child and decedent? Were they a parent or primary guardian?

Decedent Name *

First

Last

What was the name of the decedent that passed away?

Decedent DoD *

When did the decedent pass away?

List each child's name, age, and three gifts from their wish list

Child's Name & Age *

Gift 1

What is on their wish list?

Gift 2

Gift 3

Comments

Add any additional information here