Mother's Day Adopt a Mom

1

Name

First Name

Last Name

2

Email

example@example.com

3

What state are you located in?

4

Are you aware the mother's we assist are marginalized?

5

Are you comfortable with making a post on Instagram, Twitter, And Facebook (not in your stories) about a mother experiencing hardship and needs a Mother's Day angel?

6

Are you comfortable fulfilling an Amazon wishlist of up to 5 personal care items?

7

Are you comfortable helping a mother pay an emergency bill or help with a medical device?

8

Would you like a wishlist of 5 personal care items OR to help grant a mother's wish?

9

Are you aware that you're responsible for making sure the list/wish is fulfilled by sharing it on social media for 3 weeks and encouraging family and friends to contribute?

10

Would you like an Amazon, Target or Walmart wishlist?

11

Are you okay with making sure all gifts that are bought are shipped directly to registry address?

12

If you choose to grant a mother a wish, would you like for our team to send you a copy of the wish?

13

Do you have any comments or questions?*Please note any judgmental or abusive language towards the mother or foundation will be prohibited. If you are unable to fulfill the list or wish please communicate with us so that we are able to better assist you*

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