Application Deadline: November 25, 2019
Date_________________ SJA Parishioner Envelope # _________
St. Joan of Arc Parishioner’s Name:_______________________________________________
Street Address:_______________________________________________________________
City, State, Zip:_______________________________________________________________
Telephone # _______________________________________________________________
Name of the Family you would like for SJA to assist:
_________________________________________________________________ Home phone #___________________Cell phone #________________________
Please share in confidence a little about the family’s hardships:
_______________________________________________________________
_______________________________________________________________
Delivery Address: _________________________________________________________________
_________________________________________________________________
Child’s Name Age Sex Shirt Size Pants Size Toy Request
**Each child will receive 1 toy item and 1
clothing item (be sure to give correct sizes).
Angel Giving Tree Recommendation 2019