2011 Holiday Wish List ______________ Child Number (Office Use ONLY) If any questions, please contact Suzanne Baker at : 954-873-1832 Gift Cards Age: 0 -5 years Ages 6-12 years Ages: 13-18 years Select ONLY one card Toys R Us Laugh and Learn Lego City or Lego kit Rip Stick Babies R Us Musical Crib Toy Key Board or Guitar Target Ocean Wonders Bratz Doll or Barbie Doll Wal-Mart Small Baby Doll I Carly Doll Nintendo DSI K-Mart Large Baby Doll MP3 Player MP3 Player Marshalls Tonka Truck Portable CD Player Portable DVD player TJ Maxx Dora Game for: Wii - PS3 Transformers Perfume Best Buy or Diego Doll Dora or Diego Toys Movie Winnie the Pooh Spiderman - Action Hero Basket Ball Hoop Game Stop Baby Einstein Sports Authority Elmo Soccer ball or Baseball bat V Tech or E Reader Football or Basket Ball Necklace or Earrings Nintendo DS Bath Products Pay as you go phone E Reader or Cologne - PSP Guitar or Key board Bath & Body Works or Barney Leap Frog Toy Cell Phone Air time Mega Blocks Nintendo DS Game Play Station III Game I Tunes music card Sponge Bob Toy Visa or Master Card or American Express Trike Wagon Riding Toy Bike Race track or Train set Remote control : Truck Car Plane Wii Game or PSP Game Digital Camera and SD Memory Card Barnes and Nobel Disney Princess Toy Skate Board Jansport Backpack Blockbuster Disney: Fairies Perfume Store Disney: CARS Bike Size (Please Select One) Bakugan or Ben 10 Bike Size (Please Select One) Art Supplies Write the card or gift you want: Play Tent or Table & chair set Purse Watch Board Games Books or DVD V-Tech Toy or Fisher Price Toy Electronic Board Game Monopoly or any Game Bracelet or Earrings Watch or Purse Child’s Name: Age: Years or Months Sex: Male or or DSI or Scooter Placement: Shelter Group Home Foster Home If placed in Shelter, GH or FH give Provider Name: Child Advocate: Supervisor: Phone: Phone: Div/Unit: AD/Phone: Relative Computer printer Memory jump drive Female If a girl selects a doll please select her race: White Black Hispanic If a child has a Developmental Delay or Disability please select yes. YES or Wallet Other Non-Relative Parents or or