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Adopt a Family/Senior

Donor registration is open between October 10 to November 15. Please complete the form below and we will make every effort to match you with the family size of your choice.​

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Multi-line address

Child's Information

Gender
Male
Female
Other
Writing Instruments

Please check off if you need these items. Leave blank if not needed.

Stationery and Accessories

Please check off if you need these items. Leave blank if not needed.

Paper and Notebooks

Please check off if you need these items. Leave blank if not needed.

Binders and Organization

Please check off if you need these items. Leave blank if not needed.

Second Child's Information

Leave blank if no other children require supplies.

Gender
Male
Female
Other
Writing Instruments

Please check off if you need these items. Leave blank if not needed.

Stationery and Accessories

Please check off if you need these items. Leave blank if not needed.

Paper and Notebooks

Please check off if you need these items. Leave blank if not needed.

Binders and Organization

Please check off if you need these items. Leave blank if not needed.

Third Child's Information

Gender
Male
Female
Other
Writing Instruments

Please check off if you need these items. Leave blank if not needed.

Stationery and Accessories

Please check off if you need these items. Leave blank if not needed.

Paper and Notebooks

Please check off if you need these items. Leave blank if not needed.

Binders and Organization

Please check off if you need these items. Leave blank if not needed.

Fourth Child's Information

Gender
Male
Female
Other
Writing Instruments

Please check off if you need these items. Leave blank if not needed.

Stationery and Accessories

Please check off if you need these items. Leave blank if not needed.

Paper and Notebooks

Please check off if you need these items. Leave blank if not needed.

Binders and Organization

Please check off if you need these items. Leave blank if not needed.

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