Children’s Aid Society

Christmas Toy Connection

A partnership program with the Charles County Department of Social
Services, to connect 2000 underprivileged children with Christmas toys!

NOTE: All applications are due by November 8, 2021 — NO EXTENSIONS!

Christmas Toy Connection
Complete your application today. 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 our Christmas Toy program. If you have any questions please call 301-392-6603 or 301-645-1561.
Name
First Last
Email
SSN #

# must be that of the head of household
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Daytime Phone #
(must provide good phone number)
BirthDate
Month
Day
Year
Your Age
Number of Adults in household
Number of children in your family (17 and under)
Are you currently receiving services from the department of Social Services?
- Yes
- No
Childs Name Age Sex
CAPTCHA

Childs Name	Age	Sex