Charles County Department of Social Services

You must complete this form honestly and completely or it may delay the processing of your application. This is a first-come, first-served program with limited acceptance.

⚠️*If you are registered with another “Toy” program in the county, you will automatically be dropped from Christmas Toy Connection.

First Name *

Last Name *

Street Address / Apt. # / PO Box *

City *

State *

Zip Code *

Daytime Phone # *(Must provide a good phone number)

Email Address *(To send reminders if accepted)

SSN # *(# must be that of the head of household)

Your Age *

Your Date of Birth *

# of Adults in Household *

# of School Aged Children in Family *

Are you currently receiving SNAP benefits (Food Stamps) or Cash Assistance from the Dept. of Social Services? *

Yes, currently receivingNo

#	Child's Full Name	Age	Sex
1.
2.
3.
4.

I certify that I am the parent or legal guardian of the child/children listed on this application and all information provided is accurate and true to the best of my knowledge. *

* All required fields must be completed. Submissions are encrypted and transmitted securely.

Christmas Toy Connection

Application DUE by Nov 7th, 2026

STOP HERE IF YOU ARE NOT THE PARENT OR LEGAL GUARDIAN OF A CHILD

Head of Household / Applicant Information

Household & Assistance Information

Children in Need of Toys

CCDSS Assistant