Nathaniel's Hope ~ Sharing "the Hope" with Kids with Special Needs and their Families

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Caroling for Kids - Caravan Registration Form

You can register to have a Caroling Team come and visit your homebound VIP family in one of the following ways:

1. Fill out the form below

2. Click here to open the form in PDF, print, complete, and fax it to us (407-447-2021)

3. Call us with the information (at 407-857-8224)

REGISTRATION DEADLINE: DECEMBER 16, 2008 PLEASE NOTE: FAMILIES WITH MEDICALLY FRAGILE KIDS WILL BE GIVEN PRIORTY FOR CARAVAN VISITS.
Parent/Caregiver Name:
Relationship to VIP:
Address:
City:
State:
Zip/Postal Code:
Home Phone:
Cell:
Work Phone:
Email:
Home Church (if any):
Church City:

I speak (check all that apply): Spanish Sign Language

How did you hear about Caroling Caravan?

How many people live at home?

Adults:

Children:

Would you like a Caroling Team to come to your home? Yes No

What is the best time frame for you to
receive visitors on Christmas Day?

Afternoon:

Evening:

Do you need toys for Christmas Day? Yes No

If yes, explain your need?

Walgreen’s is collecting new toys at Central Florida locations and we will be filling requests from the items that are donated. The gifts are primarily coloring books, books, comic books, and small toys. Nathaniel's Hope Caroling Caravans will deliver them on Christmas Day or you have the option to call our office and make arrangements to pick up your toys.

Child’s Name 1:	Birthday (MM/DD/YYYY):	VIP Sibling	Special Need, if VIP:
Child’s Name 2:	Birthday (MM/DD/YYYY):	VIP Sibling	Special Need, if VIP:
Child’s Name 3:	Birthday (MM/DD/YYYY):	VIP Sibling	Special Need, if VIP:
Child’s Name 4:	Birthday (MM/DD/YYYY):	VIP Sibling	Special Need, if VIP:

Your VIP will automatically become a member of the Nathaniel's Hope Birthday Club! Your child will initially receive a “Bearing Hope Bear“ and each year will receive a birthday card with a surprise from time to time, a special Christmas card, invitations to events especially for VIPs, etc. You may also post your child’s name and/or picture on our website by indicated your preference here:
Name on Web First name only on Web DON’T list name on Web Picture on Web DON’T put picture on Web

Is there anything else you would like to share with us (i.e. prayer request or special need)?

Optional Demographic Information: When applying for grants, we are asked for certain information. By responding to these optional questions, you will be helping us in garnering funds for Nathaniel’s Hope.
Family income level:	<$20,000 $20,001-30,000 $30,001-40,000 $40,001-50,000 $50,001-60,000 >$60,001
Race/Ethnicity:	African-American/Black American Indian or Alaska Native Asian Indian Caucasian/White Chinese Filipino Guamanian or Chamorro Hispanic/Latino/Latina Japanese Korean Native Hawaiian Pacific Islander Samoan Vietnamese
	Other, please specify

©2006 Nathaniels Hope | 2300 Jetport Drive, Orlando, FL 32809 | phone: 407-857-8224
Nathaniels Hope is an outreach of Teams Commissioned for Christ International,
a non-profit, 501(c)(3) Christian mission organization.