Bremerton Salvation Army

(*= required feild)

Date*

First Name*

Last Name*

Phone Number*

Email*

Company Name/Parent Orginization

Address*

City, State, Zip*

We would like to sponsor a:
 partial family complete family

We would like to sponsor # Family/Families

We would like to donate:
 Gifts Gifts to Parents Christmas Tree Food

Size of Family/Families:
 1-3 4-6 7 or more No Preference

Children's Ages:
 0-5 6-10 11-15 16-18 No Preference