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Holiday Giving Application 2022 - Deadline November 4, 2022

ELIGIBILITY__________Must live in Halton Hills (Acton, Georgetown and outskirts)__________Maximum after-tax household income: $28,000 (1-2 people in home); $39,000 (2-4 people in home); $48,000 (5-6 people in home); $52,000 (7+ people in home)
CONTACT Name(Required)
ADDRESS (must live in the Town of Halton Hills: Acton, Georgetown and outskirts)(Required)
CHILDREN'S INFORMATION(Required)
First Name
Last Name
Date of Birth (dd/mm/yyyy)
Gender
Gift Card: Walmart or Giant Tiger
Pajama Size CHILD (6, 8, 10, etc.)
Pajama Size YOUTH (6, 8, 10, etc.)
Pajama Size ADULT (6, 8, 10, etc.)
 
HOUSEHOLD INCOME (monthly, after-tax $ amounts)(Required)
ODSP
E.I.
O.W.
CPP Disability
Support Payments
Employment
Other (amount)
Other (details)
Total
 
CONSENT TO DISCLOSE INFORMATION(Required)
Personal information is collected solely for determining program eligibility to ensure support for those most in need. Information is kept strictly confidential. Contact Links2Care's Privacy Officer at 905-873-6502 or [email protected] for more details.
Date(Required)
Drop files here or
Max. file size: 20 MB, Max. files: 10.
    SUBMISSION DEADLINE: November 4, 2022. We will contact you in mid December with pick-up details.
    Maximum file size - 20 mega bytes.
    This field is for validation purposes and should be left unchanged.