Christmas Adoption Form

Name (Individual, Organization or Agency) *

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Would you prefer to adopt individuals or a family?*

FamilyIndividuals

Number of Individuals you will Adopt:*

Maximum family size:*

Which Catholic Charities location would you like to deliver to?

Hornell Location - 12 Allen St.Bath Location - 23 Liberty St.Mt. Morris Location - 34 E. State Street.

Please Note:

Gifts should be brought to the above location at the time agreed upon when a family or individual has been assigned to you by the location supervisor. (supervisors listed below)
Our caseworkers are eager to assist you with unloading your delivery,just let us know when you arrive, and we will be happy to help.
If your delivery date or location should change please let us know as soon as possible.
If you have general questions, please email sally.ressue@dor.org or 607-793-5522
- Mt. Morris Supervisor - Abby Valentine - abagail.valentine@dor.org or 607-373-8305
- Bath Office Supervisor - Kelly Ferguson - kelly.ferguson@dor.org or 607-882-5652
- Hornell Office Supervisor - Angela Kull - angela.kull@dor.org or 607-968-4666

Our Commitment to the Individuals and Families:

The individuals and families you've so graciously adopted are counting on you for Christmas. We can not emphasize enough the importance of following through with the adoption once you or your agency has committed itself. If a problem arises, please contact us as soon as possible so we can make other arrangements.

Signature

Christmas Adoption Form - 2025

Contact Person Information