Please complete one application for each eligible family. Applications are due as soon as possible, but no later than Friday, December 6, 2024. Once you submit the form, you will receive a copy of the application via email for your records.

As the staff member submitting this form on behalf of your client, you are responsible for shopping for your client’s gifts in the Community Room in the Langhorne office between December 12-18, 2024. We will email you when you can sign up for shopping time slot(s).

If you have any questions, please contact Anne Marie Richards at arichards@fsabc.org or 215-757-6916, ext. 218. Thank you.