Christmas Basket Request

Family Information

Source of Income Information (required)

Special draw

To be eligible for the draw for one of the 20 pairs of free tickets to the La Guignolée de New Richmond Benefit Concert, tell us, in your own words, how La Guignolée makes a difference in your life or how it has made a difference in the past.

Please note : Participation in this draw is entirely voluntary and has no effect on the review or approval of your Christmas basket application. Your testimonial will be treated confidentially unless you expressly authorize us to share it.

Gift suggestions for children aged 13 and under

If we have an opportunity to offer a gift to your child or children age 13 and under, we would appreciate a few gift suggestions or simply an idea of their interests. For example: hockey, crafts, colouring, reading, board games, music, sports, dolls, cars, etc.

This information would help us choose, if possible, a gift that better matches each child’s interests. However, this does not guarantee that a gift can be provided or that the suggested item will be available.