1
Winter Garden Police Athletic League
Holiday Gifts For Kids Application
****All information provided will be verified at registration****
Parent(s) or Legal
Guardian(s): (Birth certificates or custody paperwork will be required)
Parent 1:
DOB
DL or ID#
Job Title
Name
Place of employment
Parent 2:
DOB
DL or ID#
Name
Place of employment
Job Title
Primary Residence: (A current lease/payment receipt for renters and a current water bill for owners will be required)
Rent / Own
3.
Address:
Landlord name and phone number:
Applicant’s phone number: 1. 2.
Children: (Accepting applications for up to 12 years old. Birth certificates will be required)
Child 1: M / F
Name (first) (last) DOB Gender
School currently attending Grade
Interests
Child 2: M / F
Name (first) (last) DOB Gender
School currently attending Grade
Interests
Reviewed by
Registered by
WG PAL use only
2
Child 3: M / F
Name (first) (last) DOB Gender
School currently attending Grade
Interests
Child 4: M / F
Name (first) (last) DOB Gender
School currently attending Grade
Interests
Child 5: M / F
Name (first) (last) DOB Gender
School currently attending Grade
Interests
Household Annual Income: $
Do you receive any government assistance? Yes No
Current Government assistance program(s):
Additional Information: (Why you need assistance from this program: anything important for us to know when
considering your application)
Applicant Signature: Date:
***Last day to turn in applications is November 30
th
, 2020. If the application is not complete or the contact
information is not valid your application will not be processed***
***Please note you are not considered to be registered for the program until contacted by a representative of this
organization and given a program receipt***
click to sign
signature
click to edit