Kerrington's Heart Giving Tree
This application for Christmas assistance may be submitted for any child (under the age of 18 during 2014) whose permanent residence is in the state of Kentucky, who is suffering from a Congenital Heart Defect.

Siblings of a child suffering from CHD are also eligible under the same application.
1Applicant Info & Document upload2Children Wishlist
1
Applicant Info & Document upload
2
Children Wishlist
  • Please Complete Entire Application

    You will need to upload a multi-paged PDF or fax the following documents in addition to completing the information below to be considered. Incomplete application will
    not be considered.

    1. A valid photo ID of the applicant
    2. Proof of income (most recent pay stub for mother and father of the child)
    3. Proof of residence (most recent utility bill or bank statement with current address)
    4. Proof of housing expense (most recent mortgage or rent statement)

    FAX NUMBER: 859-548-­8825
  • File formats accepted: .pdf, doc, docx & jpg
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