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Church Status: (*) New Angel Tree Church Previous Angel Tree Church Don't Know Required

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Church Name: (*)	Required
Denomination/Affiliation:	Required
Primary Language of Church:	EnglishSpanishBilingual (Spanish/English)Required

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PASTOR Preferred Title: Required Name: (*) Required # of Years Church Has Participated: Required

COORDINATOR Title: Mr.Mrs.Ms.Miss Required Name:(*) Required # of Years as Coordinator: Required

CHURCH ADDRESS (Physical Address required for UPS)	COORDINATOR ADDRESS (Physical Address required for UPS)
Street: (*) Required City: (*) Required State: (*) AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming Required Zip Code: (*) Required County: (*) Required	Street: Required City: Required State: AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming Required Zip Code: Required County: Required
MAILING ADDRESS (IF DIFFERENT THAN ABOVE) [PO Box permitted]	MAILING ADDRESS (IF DIFFERENT THAN ABOVE) [PO Box permitted]
Street: Required City: Required State: AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming Required Zip: Required County: Required	Street: Required City: Required State: AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming Required Zip Code: Required County: Required
CHURCH CONTACT INFORMATION	COORDINATOR CONTACT INFORMATION
Phone: (*) Required Fax: Required Email: Required Website URL: Required	Primary Phone: (*) Required HomeWorkCell Required Alternate Phone #1: Required HomeWorkCell Required Alternate Phone #2: Required HomeWorkCell Required Email: (*) Required

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Number of children requested (*)	Required
Send all church materials to: (*)	Church AddressCoordinator Address Required
Send children's names to: (*)	Church AddressCoordinator Address Required
Send name file via: (*)	MailEmail Required	File Format: ExcelPDF Required
Materials requested:	Full Kit No Kit Required	but please send me RequiredAngel Tags Required Bulletin Inserts

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Desired area (where the children live) in order of preference: list zip codes, cities, or counties. (*) (If children are not available, Angel Tree may assign children within a reasonable distance of the requested areas.)

1) Required	2) Required	3) Required	4) Required
5) Required	6) Required	7) Required	8) Required
9) Required	10) Required	11) Required	12) Required

We will distribute gifts: (*) At an Angel Tree partyHome deliveryBoth Required

In the event children are unavailable in our immediate area, we would be willing to:
Purchase and mail gifts to children in areas of need
Required

Partner with a church in an area of need by:
Purchasing and delivering giftsPurchasing gifts onlyDelivering gifts only
Required

Name of Church Previously Partnered With: Required

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PARTICIPATION AGREEMENT

I agree that the child and caregiver information distributed by Prison Fellowship is confidential and proprietary in nature, and that I may use it for the sole purpose of the Angel Tree program. Name, address, and other contact information will be shared only with volunteers involved in Angel Tree. No information will be shared with any other persons or organizations for any other purpose without the written permission of Prison Fellowship. This application is not a guarantee of participation.

I Agree Required (*)

  

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Comments:
Required