Bolts and Blue Holiday Registration December 2024 (copy) (copy)

First name *

Last name *

What is your Age? *

Email *

Confirmar el campo anterior *

No email address

Street *

City *

Zip code *

Primary Race *

Mobile Phone *

Opt-in to receive your confirmation by text. *

Please be advised, your phone provider may apply rates to text(s) you receive.

Are you or anyone in your household an active member or veteran of the military? *

In your household, who is the active member or veteran of the military? *

Have you received holiday assistance with Metropolitan Ministries in the Past? *

Head of Household ID *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

ID matching the Head of Household: Driver’s License, Passport

Proof of Address *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Utility Bill, Lease Agreement, Rent Receipt

Proof of Need *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Please provide proof of: Food Stamps, Medicare, Medicaid, Disability, Unemployment, WIC, Loss of Income, self-declaration or other document showing need (may be in your child's name)

Choose Ham or Turkey *

Family will receive a full size frozen Ham or Turkey

Total Number of household members *

Number of Adults and Children living in the house.

Children in your custody and home from 0-17 years of age *

Child #1 Full Name *

Child #1 Age *

Child #1 Gender *

Child #1 Document *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Upload one document for child 1: Birth Certificate, ID Card, Passport, School ID, Shot Record, Adoption record or other form of child documentation.

Child #2 Full Name *

Child #2 Age *

Child #2 Gender *

Child #2 Document *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Upload one document for child 1: Birth Certificate, ID Card, Passport, School ID, Shot Record, Adoption record or other form of child documentation

Child #3 Full Name *

Child #3 Age *

Child #3 Gender *

Child #3 Document *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Upload one document for child 1: Birth Certificate, ID Card, Passport, School ID, Shot Record, Adoption record or other form of child documentation

Child #4 Full Name *

Child #4 Age *

Child #4 Gender *

Child #4 Document *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Upload one document for child 1: Birth Certificate, ID Card, Passport, School ID, Shot Record, Adoption record or other form of child documentation.

Child #5 Full Name *

Child #5 Age *

Child #5 Gender *

Child #5 Document *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Upload one document for child 1: Birth Certificate, ID Card, Passport, School ID, Shot Record, Adoption record or other form of child documentation.

Child #6 Full Name *

Child #6 Age *

Child #6 Gender *

Child #6 Document *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Upload one document for child 1: Birth Certificate, ID Card, Passport, School ID, Shot Record, Adoption record or other form of child documentation.

Child #7 Full Name *

Child #7 Age *

Child #7 Gender *

Child #7 Document *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Upload one document for child 1: Birth Certificate, ID Card, Passport, School ID, Shot Record, Adoption record or other form of child documentation.

Child #8 Full Name *

Child #8 Age *

Child #8 Gender *

Child #8 Document *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Upload one document for child 1: Birth Certificate, ID Card, Passport, School ID, Shot Record, Adoption record or other form of child documentation.

Child #9 Full Name *

Child #9 Age *

Child #9 Gender *

Child #9 Document *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Upload one document for child 1: Birth Certificate, ID Card, Passport, School ID, Shot Record, Adoption record or other form of child documentation.

Haga clic en "Confirmar y pagar" para completar su registro. Recibirá un mensaje de texto y un correo electrónico de confirmación.
Si no hace clic en confirmar y finalizar la compra, NO está registrado.

Zona horaria detectada

Haga clic en "Confirmar y pagar" para completar su registro. Recibirá un mensaje de texto y un correo electrónico de confirmación. Si no hace clic en confirmar y finalizar la compra, NO está registrado.

Haga clic en "Confirmar y pagar" para completar su registro. Recibirá un mensaje de texto y un correo electrónico de confirmación.
Si no hace clic en confirmar y finalizar la compra, NO está registrado.