Toys for Tots Application at: Be Ready Jesus Is Comming Apostolic Church
To ensure that all approved applicants are served, a government issued ID, copy of children's birth certificate are required. You must register and bring these required documents on December , 2019. The Toy Pick Up location will be at 1411 w.4th Street, Wilmington D.E. 19805.
Name of Applicant*
Prefix First Name Middle Name Last Name
Applicants Birthdate*
Month Day Year
Applicants Phone Number*
Area Code Phone Number
Applicants E-mail Address
Applicants Address*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code
Child(ren) Info*
Electronic Disclosure and Signature Agreement
- I know that any information given toBe Ready Toys For Tots Give Away will be protected and kept confidential.
- By entering your name on the signature line, you are signing this Application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this Application and is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature. You further agree that your electronic signature grantsThe Be Ready Jesus Is Coming Apostolic Church the permission to confirm, where applicable, your income eligibility criteria, and or the residential information entered on this application.
Electronic Signature*
First and Last Name
DateTime
Should be Empty:

Toys for Tots Application at: Be Ready Jesus Is Comming Apostolic Church