2025 Adopt-A-Family Holiday Assistance Program

2025 Adopt-A-Family Program

Holiday Assistance Application

CONTACT INFORMATION

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Email

example@example.com

Please list your children's names & ages:*

Please list your children's sizes below:*

Please use as the space below to tell us about your family's need

Please tell us about your family:

Please tell us about your household needs:

Please tell us about the adults in the home (clothing/shoe size, interests, & needs):

Please tell us about your children's interests & needs:

Thank you for submitting your application for the 2022 Adopt-A-Family Holiday Assistance Program. Your application will be reviewed in the order in which it is received. If you are chosen to be adopted, you will be notified using the above contact information no later than December 10, 2022.

Happy Holidays!