2018 application

Legacy Church would like to demonstrate Christ’s love by blessing our neighbors in need. Our Legacy Box will be delivered to your residence on December 9th between 10am-12pm.

All applications must be received no later than Nov 5th.

*All supplies are donated and assembled by members of Legacy Church. We will try our best to help you, but depending on amount of needs, there is no guarantee every request can be met.

Name *
Name
Address *
Address
Phone *
Phone
What type of box does your family need?
(check all that apply)
For example, give us clothes sizes and let us know if it is for a boy or girl. For bedding, we also need to know what size bed and if its for a boy or girl.