House Of Help Toy Sign Up Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 10Sign up for Toys In the following pages you will be required to answer question to help use get the toys for your kids. Remember that all Children must live in your house Full Time and you must be the Parent or Guardian of the Children NO BIKES or Electronics We do need an email and Text number so we can contact you for Verification and Any Question we have on your application. Accept the Terms *AgreeDon’t AgreeNextDid you get toys last year? *YESNOName *FirstLastPhone *EmailAddress *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStatePreviousNextYou Agree to provide proof of each question on request. We will contact your via Email or Text for any verification that is required. / Usted se compromete a proporcionar pruebas de cada pregunta cuando se le solicite. Nos pondremos en contacto con usted por correo electrónico o mensaje de texto para cualquier verificación que se requiera. *YesNOProof Hempstead ResidenceLeaseUtility Bill (Current)Are you receiving any of the following:School LunchHouse of Help ClientMedicare or MedicaidFood StampsProof of Parent Or Guardian *Birth CertsGuardian PapersReport CardAll Children Live in your House Full Time. *YesNoPreviousNextk1 Name *k1 Gender *GirlBoyk1 What activities does your Child Like?ReadingBoard GamesCard GamesArt – CraftsColoringDrawingPuzzlesMusic/Bandk1 Does your Child Play with any of the following?Baby DollsBarbiesCollectable DollsAction FiguresStuffed AnimalsDinosHorsesPlay Dishesk1 Young Adult (15-18)Ear BudsChargerCologneWatchk1 Needs Additional help?ReadingMathMobilityWritingk1 Diaper (Size)Enter the Diaper Sizek1 Age: *k1 Gradek1 LanguageEnglishSpanishk1 What sports does your Child Play?FootBallBasket BallSoccerTennisVolley BallBaseballk1 What Other Activities?Building BlocksLego’sSewingCraft’sCarTruckk1 Girlie GirlMakeup LightMakeup DarkNail PolishHair StuffJewleryk1 Clothes (Sizes)Enter the Sizes of the close for the child.PreviousNextk2 Namek2 GenderGirlBoyk2 What activities does your Child Like?ReadingBoard GamesCard GamesArtColoringDrawingPuzzlesMusic/Bandk2 Does your Child Play with any of the following?Baby DollsBarbiesCollectable DollsAction FiguresStuffed AnimalsDinosHorsesk2 Young Adult (15-18)Ear BudsChargerColognek2 DiaperEnter the Diaper Sizek2 Clothes Enter the Sizes of the close for the child.k2 Age:k2 Gradek2 LanguageEnglishSpanishk2 What sports does your Child Play?FootBallBasket BallSoccerTennisVolley BallBaseballk2 What Other Activities?Building BlocksLego’sSewingCraft’sCarTruckTraink2 Girlie GirlMakeup LightMakeup DarkNail PolishHair StuffJewleryk2 Needs Additional help?ReadingMathMobilityWritingPreviousNextk3 Namek3 Gender GirlBoyk3 What activities does your Child Like? ReadingBoard GamesCard GamesArtColoringDrawingPuzzlesMusic/Bandk3 Does your Child Play with any of the following?Baby DollsBarbiesCollectable DollsAction FiguresStuffed AnimalsDinosHorsesk3 Young Adult (15-18)Ear BudsChargerColognek3 DiaperEnter the Diaper Sizek3 ClothesEnter the Sizes of the close for the child.k3 AgeK3 Gradek3 Language / IdiomaEnglishSpanishk3 What sports does your Child Play?FootBallBasket BallSoccerTennisVolley BallBaseballk3 What Other Activities?Building BlocksLego’sSewingCraft’sCarTruckTraink3 Girlie GirlMakeup LightMakeup DarkNail PolishHair StufJewleryk3 Needs Additional help?ReadingMathMobilityWritingPreviousNextk4 Namek4 Gender GirlBoyk4 What activities does your Child Like?ReadingBoard GamesCard GamesArtColoringDrawingPuzzlesMusic/Bandk4 Does your Child Play with any of the following?Baby DollsBarbiesCollectable DollsAction FiguresStuffed AnimalsDinosHorses,k4 Young Adult (15-18)Ear BudsChargerColognek4 DiaperEnter the Diaper Sizek4 ClothesEnter the Sizes of the close for the child.k4 Age:Gradek4 LanguageEnglishSpanishk4 What sports does your Child Play?FootBallBasket BallSoccerTennisVolley BallBaseballk4 What Other Activities?Building BlocksLego’sSewingCraft’sCarTruckTraink4 Girlie Girl / Chica FemeninaMakeup LightMakeup DarkNail PolishHair StuffJewleryk4 Needs Additional help?ReadingMathMobilityWritingPreviousNextk5 Namek5 GenderGirlBoyk5 What activities does your Child Like? ReadingBoard GamesCard GamesArtColoringDrawingPuzzlesMusic/Bandk5 Does your Child Play with any of the following?Baby DollsBarbiesCollectable DollsAction FiguresStuffed AnimalsDinosHorsesk5 Young Adult (15-18)Ear BudsChargerColognek5 DiaperEnter the Diaper Sizek5 ClothesEnter the Sizes of the close for the child.k5 Age:k5 Gradek5 LanguageEnglishSpanishk5 What sports does your Child Play?FootBallBasket BallSoccerTennisVolley BallBaseballk5 What Other Activities?Building BlocksLego’sSewingCraft’sCarTruckTraink5 Girlie Girl Makeup LightMakeup DarkNail PolishHair StuffJewleryk5 Needs Additional help?ReadingMathMobilityWritingPreviousNextk6 Namek6 GenderGirlBoyk6 What activities does your Child Like?ReadingBoard GamesCard GamesArtDrawingPuzzlesMusic/Bandk6 Does your Child Play with any of the following?Baby DollsBarbiesCollectable DollsAction FiguresStuffed AnimalsDinosHorsesk6 Young Adult (15-18) / Adulto joven (15-18)Ear BudsCharger / CargadorCologne / Coloniak6 DiaperEnter the Diaper Sizek6 ClothesEnter the Sizes of the close for the child.k6 Agek6 Gradek6 LanguageEnglishSpanishk6 What sports does your Child Play? FootBallBasket BallSoccerTennisVolley BallBaseballk6 What Other Activities?Building BlocksLego’sSewingCraft’sCarTruckTraink6 Girlie GirlMakeup LightMakeup DarkNail PolishHair StuffJewleryk6 Needs Additional help?ReadingMathMobilityWritingPreviousNextYou verify that all the information is correct? *YesNoSubmit
