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Lakewood Police Department

dbrower@lakewoodpolicenj.com

231 3rd Street, Lakewood, NJ, 08701, US

732-363-0200

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Christmas Present Request Form

All nominations must be Lakewood residents; if chosen, proof of address is REQUIRED

Parents Name

Address of Family Nominated


Child's Information

School Information

Details

2nd Child's Information (IF APPLICABLE)

School Information

Details

3rd Child's Information (IF APPLICABLE)

School Information

Details

4th Child's Information (IF APPLICABLE)

School Information

Details

5th Child's Information (IF APPLICABLE)

School Information

Details

6th Child's Information (IF APPLICABLE)

School Information

Details

Are any of the above mentioned children receiving gifts from any other organizations?

Please let us know why you will be nominating this family for Lakewood Police Department's Annual Gift Drive. The deadline for submission of this letter is 8pm on Friday, December 6, 2019. Those whom are selected will recieve an email on or around Saturday, December 14, 2019. Thank you and Happy Holidays.