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Christmas theme with a santa that looks like James Harden the basketball player_edited_edi

Thirteen's 13 Families Submission Form

How many people in your family?
What is your current employment status?
Employed
Unemployed
Underemployed
Self Employed
Other
What is your household income?
Under $25,000
$25.000 to $50,000
$50,000 to $75,000
Over $75,000
Do you consent to have your information shared with our partners for the purpose of this program?
Yes
No

Confidentiality Statement: Your privacy is important to us. The information you provide in this survey will be kept strictly confidential and will only be used for the purpose of assessing needs. We will not share your personal information with any third parties without your consent. All responses will be anonymized in any reports or publications. Thank you for your participation and helping us serve our community better.

713.804.2025     
1911 BAGBY ST. SUITE 1
00 HOUSTON, TX 77002
DRESS CODE STRICTLY ENFORCED

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THIRTEEN RESTAURANT:
SUN.  12PM - 4PM
WED 5PM - 10PM
THURS. 5PM - 11PM
FRI. & SAT. 5PM - 12AM

WE ARE 21 & UP AFTER 9PM ON FRIDAY | SATURDAY NIGHTS!

THIRTEEN LOUNGE:

SUN. 12PM - 10 PM
TUES - THURS.  5PM - 12AM

FRI. & SAT. 5PM - 1 AM

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