The Human Initiative Foundation


Cleveland Holiday Wrap Application
2009
Family 48

Parent/Guardian Information: 

First Name(s): 
48 P
Address:







Parent Clothing Size: Pants: 
14 W






Parent Shoe Size: 
10 W






Basic Household Goods Needed:
Bath Towels

Pots & Pans

Microwave






Number of Children:
2



Additional Comments: I don’t expect all that I need but I appreciate any help that I can get, I am starting over and it will be a while before I have it all again my phone # is 1-440 278-0126.
			Thank-you 






Child Information:
Child One:

Child Three:
First Name:

Gender:

Age:

Favorite Color:

Clothing Sizes:

Shirt

Pant/Skirt

Shoe Size:

Clothing Needs:







Toy/ Gift Needs:








Child Two:

First Name:
481
Gender:
Female
Age:
13
Favorite Color:
White
Clothing Sizes:
10/12
Shirt
10
Pant/Skirt
8 ½
Shoe Size:
Underwear
Clothing Needs:
Pants






Toy/ Gift Needs:
MP3 player







First Name:
482
Gender:
Female
Age:
15
Favorite Color:
Blue
Clothing Sizes:

Shirt
12
Pant/Skirt
12
Shoe Size:
10 W
Clothing Needs:
Pants






Toy/ Gift Needs:
MP3 player








Child Four:
First Name:

Gender:

Age:

Favorite Color:

Clothing Sizes:

Shirt

Pant/Skirt

Shoe Size:

Clothing Needs:







Toy/ Gift Needs:








School: Caroth 
Family: 48

The Human Initiative Foundation: Cleveland Holiday Wrap
10202009