Hope 4 The Holidays Registration

This form is for registration for the Hope For The Holidays giveaway on Saturday December 20, 2025. Please fill out all required fields to ensure proper submission of your registration. All information must be able to be verified. Please only fill out information that pertains to you and your household only. You cannot fill out the form for another household or individual. The Aplication deadline is November 8, 2025 at 5:00PM. NO applications will be accepted after this date.

Name(Required)
Current Address(Required)
MM slash DD slash YYYY
Race/Ethnicity (check all that apply)(Required)
Please indicate which forms for public assistance you receive(Required)
Income must be able to be verified.
In the space above, please list what shelter you are currently residing in Kentucky? This information will be verified by our staff. Priority is given to those currently living in a homeless shelter or who are currently verified as being unsheltered (living on the street or in a place not fit for human habitation).

Household Information

In this section, please list the information for the individuals in your household. Please only list those that actually reside with you.
Name
MM slash DD slash YYYY

Dependent Information

In this section, you will fill out the information for the children in your household.
Dependent #1
MM slash DD slash YYYY
Race/Ethnicity (check all that apply)
Why are you being asked this? We give out toys and gifts. We want to ensure that children, youth and young adults receive gifts meant for them. It would help to know if you need gifts and clothing for male or female or if it makes no nevermind. You do NOT have to answer this question and can leave it blank. Please understand that if you do, whatever is given is given without regard to gender identity. It just may be that what is received by your child may not be what they were expecting based on who they are as a person and individual. This question trys to honor that.
Dependent #2
MM slash DD slash YYYY
Race/Ethnicity (check all that apply)
Why are you being asked this? We give out toys and gifts. We want to ensure that children, youth and young adults receive gifts meant for them. It would help to know if you need gifts and clothing for male or female or if it makes no nevermind. You do NOT have to answer this question and can leave it blank. Please understand that if you do, whatever is given is given without regard to gender identity. It just may be that what is received by your child may not be what they were expecting based on who they are as a person and individual. This question trys to honor that.
Dependent #3
MM slash DD slash YYYY
Race/Ethnicity (check all that apply)
Why are you being asked this? We give out toys and gifts. We want to ensure that children, youth and young adults receive gifts meant for them. It would help to know if you need gifts and clothing for male or female or if it makes no nevermind. You do NOT have to answer this question and can leave it blank. Please understand that if you do, whatever is given is given without regard to gender identity. It just may be that what is received by your child may not be what they were expecting based on who they are as a person and individual. This question trys to honor that.
Dependent #4
MM slash DD slash YYYY
Race/Ethnicity (check all that apply)
Why are you being asked this? We give out toys and gifts. We want to ensure that children, youth and young adults receive gifts meant for them. It would help to know if you need gifts and clothing for male or female or if it makes no nevermind. You do NOT have to answer this question and can leave it blank. Please understand that if you do, whatever is given is given without regard to gender identity. It just may be that what is received by your child may not be what they were expecting based on who they are as a person and individual. This question trys to honor that.
If you have more than 4-dependents, please list their names, D.O.B, age and gender identify information in the space above.