I am human

I agree to privacy & terms and the following:

• I and all applicant(s) live in Dunn County, Wisconsin.
• I will complete the application truthfully, without any missing information.
• I understand that I will need to speak with a representative from the
  Christmas Miracle organization to confirm my application.
• If approved, I will be available for the scheduled delivery date,
December 14th, to receive gifts.

We have many application to process, please do not call us to check the
status of an application. That will only slow the processing down, we will call you.

By clicking "I agree" you confirm you acknowledge the guidelines listed above.