Hannibal Jaycees Adopt A Family

Hannibal Jaycees Adopt A Family
HANNIBAL JAYCEES
ADOPTA FAMILY
Name
Address
Phone Number
Number of Adults in Household
Number of Children in the Household
Family Wish List Something the family needs & Can Use
Main Source of Transportation
Preferred Grocery Store
Please Give us a brief description of your family circumstances as to why you are in need of assistance
The Jaycee Creed states "The service to humanity is the best work of life"; what do you do to help your
fellow man and the betterment of our community
Have You Applied to Any Other Organizations for Assistance (Example: Toys for Tots, Salvation Army, Etc? Yes or No Have You Previously Been Adopted by Our Organization? Yes or No Please Fill out the following information for every family member in the household (Attach additional pages if needed:
Have You Applied to Any Other Organizations for Assistance (Example: Toys for Tots, Salvation Army, etc?)

YesNo
Have You Previously Been Adopted by Our Organization?

YesNo
Fill out the following information for every family member in the household (Attach additional pages if needed):
Name
Age
Gender
Grade
Coat Size
Pant Size
Shirt Size
Shoe Size
Favorite Color
Favorite Character
Hobbies
Wish List
Name
Age
Gender
Grade
Coat Size
Pant Size
Shirt Size
Shoe Size
Favorite Color
Favorite Character
Hobbies
Wish List
Name
Age
Gender
Grade
Coat Size
Pant Size
Shirt Size
Shoe Size
Favorite Color
Favorite Character
Hobbies
Wish List
Name
Age
Gender
Grade
Coat Size
Pant Size
Shirt Size
Shoe Size
Favorite Color
Favorite Character
Hobbies
Wish List
Do you Have Pets

YesNo
Kind
How Many
All applications need to be dropped off at 320 S. Third St. Hannibal, MO 63401 or mailed to P.O. Box 484 Hannibal, MO 63401 NO LATER THAN NOVEMBER 15, 2025! All Gifts will be wrapped and tagged Gifts will be delivered no later than December 20, 2025! You will receive a phone call if chosen Any Questions Please contact Bobi Stevens 573-795-5299

That faith in God gives meaning and purpose to human life; That the brotherhood of man transcends the sovereignty of nations; That economic justice can best be won by free men through free enterprise; That government should be of laws rather than of men; That earth's great treasure lies in human personality; And that service to humanity is the best work of life.
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Hannibal Jaycees Adopt A Family

HANNIBAL JAYCEES

ADOPTA FAMILY

Fill out the following information for every family member in the household (Attach additional pages if needed):