Toys for Tots

Live Rite has partnered with Toys for Tots to give families in need some holiday joy.

If you are a family that would like to receive toys this holiday, please fill out the form below. We are seeking your help to make this program as successful as possible and fair to all children. Please do not inflate the number of children on your toy request form. We do our very best to make sure each child receives two toys, one large and one small.

If you would like to help the Toys for Tots charity you can drop off a toy at our Resource Center or any Toy Drop site in your area. To view local drop sites click here.

If it's easier for you to donate online so the charity can buy toys for those in need, you can do so here: Donate Online

Individual / Single Family Toy Application

Please fill out the following form to apply for assistance from Marine Toys for Tots this Christmas

1st Parent/Legal Guardian Information

First

Last

Address

City

State

ZIP

Phone

2nd Parent/Legal Guardian Information

First

Last

Address

City

State

ZIP

Financial Provisions

Please answer the questions below to best describe your situation as far as financial provisions in place to support your children:

What is your annual income (refer to your W-2 or last pay stub for total):

Are you receiving any Government/State/City assistance (i.e. W.I.C.):

If YES, please name the type of assistance are you receiving:

NAME OF TYPE OF ASSISTANCE:

START DATE OF ASSISTANCE:

Are you receiving any other or additional financial assistance for your children:

Are you receiving any type of disability:

Do your children live with you:

If your child(ren) DO NOT live with you, please state the reason of this circumstance:

Child #1 Information

First

M.I.

Last

Date of Birth

Gender

Address

City

ZIP

Child #2 Information

First

M.I.

Last

Date of Birth

Gender

Address

City

ZIP

Child #3 Information

First

M.I.

Last

Date of Birth

Gender

Address

City

ZIP

Show/Add Child Information Child #4 Information

First

M.I.

Last

Date of Birth

Gender

Address

City

ZIP

Show/Add Child Information Child #5 Information

First

M.I.

Last

Date of Birth

Gender

Address

City

ZIP

Show/Add Child Information Child #6 Information

First

M.I.

Last

Date of Birth

Gender

Address

City

ZIP

Show/Add Child Information Child #7 Information

First

M.I.

Last

Date of Birth

Gender

Address

City

ZIP

Show/Add Child Information Child #8 Information

First

M.I.

Last

Date of Birth

Gender

Address

City

ZIP

Signature

By signing this application, I certify that all information above is true and current for me and my child(ren):

1ST PARENT / LEGAL GUARDIAN’S SIGNATURE:

Date

2ND PARENT / LEGAL GUARDIAN’S SIGNATURE:

Date