Please enter your name, email and zip code below to sign up!
Please complete the form below to register for Christmas Assistance.
Please fill out this application completely with details.
The online form allows registration for up to 2 adults and 6 children. Please contact us at 815-972-1135 if you have more household members.
The following are requirements to complete the form: photo id, proof of income, medical card, or birth certificate.
If you are the legal guardian, provide proof of guardianship, in case of adoption - provide a legal letter from the parent.
Proof of residency can be in the form of a bank statement,
cable bill, insurance, utility bill (gas or light), or recent mail with the last 3 months.
If you have issues uploading photos of your documents, please call 815-972-1135.
Online applications begin Monday, October 5, and end Friday, December 4th.
There will be no "shopping" this year due to COVID-19. This means that you will be given a pickup date and time to retrieve your gifts chosen by a volunteer
(based upon your suggestions) in a curb-side manner.
Gifts will be picked up at: 5460 E. State Street, Rockford, IL 61108.