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Helping Hands for the Holidays

  1. Huntersville Police Department
  2. Huntersville Police Department

    Helping Hands for the Holidays
    2021 Self-Referral Application

  3. Is this a full family referral?
  4. Head of Household:
  5. Other(s):
  6. Child or Adult
  7. Child or Adult
  8. Child or Adult
  9. Child or Adult
  10. Child or Adult
  11. Child or Adult
  12. Child or Adult
  13. Child or Adult
  14. Leave This Blank:

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