Form Preview Put details/sponsors here. KUZZ Cares for Kids at Christmas Nomination Form Name of Nominated Family(Required) Parent Name(Required) First Last Additional Parent Name First Last Family's Address(Required) Street Address Address Line 2 City ZIP Code Family's Cell / Main Phone #(Required)Family's Night Phone #Name of Submitter(Required) First Last Submitter Cell / Main Phone #(Required)Submitter Night Phone #Has this family ever been helped by KUZZ Cares for Christmas?(Required) Yes No If yes, what year?(Required) Tell us a little more about this family(Required)The ChildrenPlease tell us 1 (one) want and 1 (one) need per person. (Include clothing sizes if applicable)Number of Children in Family (max 5)(Required)OneTwoThreeFourFiveChild 1Child Name 1(Required) First Last Child 1 Age(Required) Child 1 Would Like a?(Required) Child 1 Needs a?(Required) Child 1 Shirt Size:(Required) Child 1 Pants Size:(Required) Child 1 Shoe Size:(Required) Child 2Child Name 2(Required) First Last Child 2 Age(Required) Child 2 Would Like a?(Required) Child 2 Needs a?(Required) Child 2 Shirt Size:(Required) Child 2 Pant Size:(Required) Child 2 Shoe Size:(Required) Child 3Child Name 3(Required) First Last Child 3 Age(Required) Child 3 Would Like a?(Required) Child 3 Needs a?(Required) Child 3 Shirt Size:(Required) Child 3 Pant Size:(Required) Child 3 Shoe Size:(Required) Child 4Child Name 4(Required) First Last Child 4 Age(Required) Child 4 Would Like a?(Required) Child 4 Needs a?(Required) Child 4 Shirt Size:(Required) Child 4 Pant Size:(Required) Child 4 Shoe Size:(Required) Child 5Child Name 5(Required) First Last Child 5 Age(Required) Child 5 Would Like a?(Required) Child 5 Needs a?(Required) Child 5 Shirt Size:(Required) Child 5 Pant Size:(Required) Child 5 Shoe Size:(Required)
