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Sponsor a Family this Holiday!
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This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Contact Information
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2.
Sponsor Information
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3.
Additional Information
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Contact Information
Contact Information
Please fill out the information for your preferred method of contact.
Company / Group Name
Contact Name
*
Phone Number
*
Email Address
*
Street Address
*
Address Line 2
City
State
Zip Code
Are you a returning Holiday Program Donor?
Yes
No
How / Where did you hear about our organization?
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Sponsor Information
Sponsor Information
Please fill out the information indicating your preference to sponsor a family and / or sponsor a child. In fields for each, please indicate the number of families or children you would like to sponsor.
Sponsor a Family
You will receive information on family composition and the needs / wants of both family and children. Families greatly appreciate small household items such as laundry detergent, cleaning supplies, sheets / towels and small kitchen appliances / utensils.
Yes, I want to sponsor a family.
Please indicate the number of families you would like to sponsor in the field for each category.
Small (2-3 people)
How many families you would like to sponsor?
Medium (4-6 people)
How many families you would like to sponsor?
Large (7 or more people)
How many families you would like to sponsor?
Sponsor a Child
You will receive information on the child such as name, age and list of needs / wants.
Yes, I want to sponsor a child.
If you have a preference on age / gender of children you'd like to sponsor, please indicate by including the number in the field for each category.
No Preference on Age / Gender
How many families you would like to sponsor?
Female, age 0-4
How many families you would like to sponsor?
Female, age 5-10
How many families you would like to sponsor?
Female, age 11-13
How many families you would like to sponsor?
Female, age 14-18
How many families you would like to sponsor?
Male, age 0-4
How many families you would like to sponsor?
Male, age 5-10
How many families you would like to sponsor?
Male, age 11-13
How many families you would like to sponsor?
Male, age 14-18
How many families you would like to sponsor?
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Additional Information
Additional Information
Please fill out any special requests or additional information. We will do our best to match you with a child or family that fits your request, but we may not be able to match all requests.
Notes / Special Requests
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Email address
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