Donation Sign-Up Inquiry 2025
Please use this form to sign up as a donor with one of CAPTAIN CHS's holiday programs.
Your Name
*
First Name
Last Name
Company Name (if applicable)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Which program(s) would you like to donate to?
Adopt-a-Family (Burnt Hills-Ballston Lake)
Adopt-a-Family (Shenendehowa)
How many children would you like to shop for?
We ask that you spend approximatly $200 per child.
Submit
Should be Empty: