Adopt-a-Family Interest Form

Adopter Interest Form

Thank you for your interest in helping a family in need this holiday season!
Full Name or Organization Name*
Phone Number*

Area CodePhone Number
Email*
example@example.com
How would you like to participate

Adopt a familyContribute in-kind donations (for unmatched families)
We suggest a budget of about $50–$75 per person, which typically covers a few thoughtful gifts. However, the true gift is your generosity — creative shoppers often find wonderful ways to make a big impact on a smaller budget!
If adopting a family, what size family would you prefer to adopt?

4 people5 people6 peopleNo preference
Would you be able to drop off your gifts in Council Bluffs?*

YesNo
Should be Empty:

Adopter Interest Form