Giving Tree 2020 | Help One Child

I am a:*

Parent
Social Worker
Group Home Case Worker

I was referred by:*

Help One Child
My Social Worker
Another Community Based Organization

Do you attend a Help One Child Support Group?*

Yes
No

Which location do you attend?*

Social Worker Name*

First Last

Social Worker Email*

County*

Santa Clara
San Mateo

Community Based Organization Name*

Parent's Name*

First Last

Group Home Case Worker Name*

First Last

Email*

Phone*

This is a gift request for:*

A House Gift
A Youth

Please submit a gift request on behalf of the youth living in the house as well as a few items that would benefit the home itself (for example: new coffee maker, bedding, or vacuum)

Child's Wish List

Child's First Name*

First

Child's Age*

Gender*

Female
Male
Other

Gift Type:*

Item or Toy
Clothing
Shoes
Gift Card

Name of Item or Toy*

Web Link To The Specific Requested Item*

Please provide the weblink (from Amazon, Target, or any other online store) to this item or an item similar.

Shoe Size:

Man/Woman	Child/Adult	Shoe Size

Clothing Size:*

Man/Woman/Unisex	Child/JR/Adult	Clothing Size

Gift Card*

Store Option 1	Store Option 2

House Wish List

Requested item:*

Weblink To The Specific House Item Requested*

Please provide the weblink (from Amazon, Target, or any other online store) to this item or an item similar.