FAMILY APPLICATION 

Dear Families,

 

The Burbank Coordinating Council would like to offer you the opportunity to participate in our 2020 Holiday Basket Program. The program benefits Burbank’s families who qualify for free or reduced-price lunches and provides food and gifts for the family. 

 

If you need a Holiday Basket for yourself and your children (18 years and under), please complete the form below and return it BEFORE December 1, 2020.           

 

How Holiday Baskets will happen in 2020:

  • Date: Saturday, December 12, 2020

  • Due to Covid, some baskets will be delivered to homes and others will need to be picked up between 9am-Noon at the Joslyn Adult Center back parking lot.  We will contact you if you need to drive to pick up basket.

  • An adult must sign the delivery card.

  • Please provide an email address and phone number so we can reach you on 12/12​ (please call us if your living arrangements or address changes).

  • If you have special medical or cultural dietary needs, please write them on the form and/or call us (we try to accommodate everyone).

 

The Holiday Basket Committee - Janet Diel, Socorro Oseguera, Co-Chairs

 

***Due to Covid 19, BCC cannot guarantee items are not contaminated…please sanitize all food and gift items before taking into your home.

FAMILY APPLICATION FORM

DEADLINE TO APPLY IS NOVEMBER 1ST

ENGLISH

Family application form in the English language.

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Ընտանեկան դիմումի ձև հայերեն լեզվով:.

SPANISH

Formulario de solicitud familiar en idioma español.

FAMILY APPLICATION FORM (PDF DOWNLOADABLE)

Armenian

English

Spanish

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Contact Us

© Copyright 2020 by Burbank Coordinating Council

Tel: (818) 216-9377

Email: HolidayBasketsCC@AOL.com

Address

P. O. Box 10126

Burbank, CA 91506