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Pop Culture Northwest Community Toy Box 2021
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1.
Are you nominating your own family?
(Required.)
Yes
No
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2.
What is your phone number?
(Required.)
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3.
Tell us about the family-include names, ages, and interests for all household members
(Required.)
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4.
Any dietary restrictions or food allergies?
(Required.)
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5.
Does the family live in the Salem-Keizer area?
(Required.)
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6.
Why is the family needing help?
(Required.)