Families Need Help – Adopt a Family 2009
Adopt A Family Contract 2009
Date: _______________
Organization/Individual Donor: __________________________________________________________
Contact Name: _______________________________________________________________________
Address: ____________________________________________________________________________
Street City State Zip
Daytime Phone: ____________________ or ____________________ Fax: _______________________
Signature of Contact Person: ____________________________________________________________
Approximate size of family you wish to adopt (circle): Small 1-2 Medium 3-4 Large 5+
Other:
Program Deadline: Please bring your gifts to The Salvation Army North Clinton facility no later than Monday, December 7, 2009.
Requirements for adopting a family:
1. Food: Please provide a gift certificate to a local grocery store for the family to purchase items for a Christmas dinner. Gift certificates are recommended so that families may pick items that fit their traditions and taste, (i.e. we recommend a minimum of $50.00 gift card for a family of four).
2. Toys: Please provide a new toy or game for all children 17 years of age and younger in the family. For safety reasons, purchase only those toys that are age appropriate.
3. Clothes: Please provide new clothing (one outfit) for each child 17 years of age and younger in the family. Purchase clothing sizes as listed on the family’s information sheet.
4. If you are interested in purchasing additional items and need more information, please call 260-744-2311 and ask for Jama Young.
Gifts may be wrapped. If unwrapped, feel free to provide wrapping paper, bows and/or tape for the parents to wrap the gifts themselves.
Contracts can be mailed, faxed to 260-744-2402 or emailed to Jama_Young@usc.salvationarmy.org
Fax, E-mail or mail this form back to The Salvation Army and we will contact you with information.
Check back to see what families have been placed for adoption this year!

For more information or to Adopt a Family, please contact Jama at 260-744-2311 ext. 238 or Jama_Young@usc.salvationarmy.org
Click here to return to the Adopt a Family page

