Parent/Guardian Information
Parent/Guardian Full Name *
Phone Number *
Email Address *
Home Address *
City *
State *
ZIP Code *
Preferred Method of Contact *
Text Message Phone Call Email
Household Information
Number of Adults in the Household *
Number of Children in the Household *
Are you currently receiving or expecting to receive holiday/toy assistance from another organization this year? *
Yes No
If yes, please explain:
Please briefly tell us about your family's current circumstances and why you are requesting holiday assistance this year: *
Child Information
Please provide information for each child for whom you are requesting assistance. This information will help us select age-appropriate gifts based on the child's interests and needs. Requested items are not guaranteed.
Child #1
Child's First Name * Age * Gender (optional) Clothing Size Shoe Size Favorite colors, characters, hobbies, or interests Toy/Gift Idea #1 Toy/Gift Idea #2 Toy/Gift Idea #3 Does this child have any special needs, sensory considerations, allergies, developmental needs, or other information that would help us choose an appropriate gift?
Add another child
Child #4
Child's First Name * Age * Gender (optional) Clothing Size Shoe Size Favorite colors, characters, hobbies, or interests Toy/Gift Idea #1 Toy/Gift Idea #2 Toy/Gift Idea #3 Does this child have any special needs, sensory considerations, allergies, developmental needs, or other information that would help us choose an appropriate gift?
If you have more than 4 children, please list the additional children's names, ages, and gift ideas in the box above.
Distribution Information
If selected, are you able to follow the pickup/distribution instructions provided by Bit by Bit, Together We Grow? *
Yes No
Do you have any transportation or pickup concerns that we should be aware of? If yes, please explain:
Photo & Media Acknowledgment
Photographs and/or video may be taken during the Bit by Bit, Together We Grow Holiday Toy Drive.
YES — I GIVE PERMISSION. I give Bit by Bit, Together We Grow permission to photograph and/or record me and/or my child(ren) during the Holiday Toy Drive. I understand that photographs and recordings may be used on the organization's website, social media pages, promotional materials, fundraising materials, and in coverage of the Holiday Toy Drive and related organizational activities.
NO — I DO NOT GIVE PERMISSION. I do not give permission for identifiable photographs or recordings of me and/or my child(ren) to be used.
Please select one: *
Yes, I give permission No, I do not give permission
Declining photo/media consent will NOT affect your family's eligibility for or participation in the Holiday Toy Drive.
Parent/Guardian Certification
By submitting this application, I certify that the information I have provided is true and accurate to the best of my knowledge.
I understand that:
Submitting an application does not guarantee that my family will be selected to participate in the 2026 Holiday Toy Drive.
Selection does not guarantee any particular toy, gift, brand, clothing size, shoe size, or requested item.
Bit by Bit, Together We Grow may contact me regarding my application, verification of information, selection status, and/or Toy Drive distribution.
I am responsible for providing accurate contact information and following any instructions and deadlines provided if my family is selected.
Parent/Guardian Full Name *
I have read and agree to the statements above, and I understand that typing my name and submitting this application serves as my electronic acknowledgment.
Date *
