Mayes County Angel Tree Application 2017


1. MUST be the legal guardian for the minor(s). If your child is included on more than one application, only one application will receive gifts for that child. Angel Tree sponsors will determine which application will be used.
2. MUST live in Mayes County, If the child is of school age, he/she MUST be currently enrolled in and attending a public, private, or home school in Mayes County. Must be between newborn and 15 years of age
3. Total household income must meet the income requirements listed below. Including all state and federal assistance.
4. Application MUST be completed in its entirety, or it will NOT be considered.
5. Child may not be on any other gift assistance programs, such as, but not limited to: Cherokee Nation, child’s school, etc.

Proof of above requirements and PHOTO ID will need to be provided at pickup.

First Name of Parent / Guardian Last Name of Parent / Guardian
 Phone Number: Email Address: 
Number of TOTAL people in Household
Number of Parents/Guardians in Household
Number of Eligible Children (15 & under) in Household
Total Monthly household income


Mailing Address City Zip
Check this box if Physical Address and Mailing Address are the same.
Physical Address City Zip
Employer/ Source of Income