Christmas Wishlist Donation

    First Name

    Last Name

    Email

    Phone

    Type selected Gift

    Select Drop-off Date and Time:
    8.30am - 11am11am-3pm

    Add a special message of encouragement or holiday cheer (Optional):

    Rodney H.

    Male

    Age 27

    Tablet
    Gym-style Drawstring Pants
    Captain D’s, WalMart, Target gift cards

    Dress Size Shoe Size Pant Size Shirt Size
    XL Custom 34x36 XL