Holiday Food & Toy Drive

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Preregistration requires proof of residency in Wellington

Please correct the field(s) marked in red below:

1
Proof of Residency
Proof of Residency
2
I would like to be a recipient of the Food Drive and/or Toy Drive
I would like to be a recipient of the Food Drive and/or Toy Drive
3
First Name
4
Last Name
5
Email
6
Home Address
7
City
8
State 
9
Zip Code
10
Cell Phone Number
11
Total number in Household
12
Number of Children
13
Boy Ages
14
Girl Ages
15
Verified By: (For Village Staff & Interfaith members only)
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