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Operation Blue Santa Form

  1. IPD-Operation Blue Santa - Header
  2.  APPLICATION DUE DATE 12/02/2022

  3. Limited to Children Living in Household Ages 0-16
  4. Application is for *
  5. ✓ Children must RESIDE in Ingleside to be eligible for participation.
    ✓ All applications must be received no later than Friday, December 2, 2022
    ✓ Please complete ALL blanks on the application.

    Submit Applications: Drop off at the Ingleside Police Department E-mail to: BlueSanta@inglesidetx.gov
    ➢ Employees/Volunteers of the City of Ingleside not eligible for participation
    ➢ Must show Identification and Utility Bill to show proof of residency
    I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE AN CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT INFORMATION PROVIDED IS SUBJECT TO VERIFICATION. FALSE INFORMATION MAY CAUSE MY APPLICATION TO BE REJECTED.

  6. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  7. Leave This Blank:

  8. This field is not part of the form submission.