Mailchimp Survey

Adopt-A-Family Sponsor Sign-Up

Thank you for your interest in taking part in our annual Adopt-A-Family program! Sponsors like you ensure that our Niagara neighbors have a happy holiday season. Please fill out this short form to let us know a little more about how you’d like to participate in the program this year, and contact Kathy Chase at santa@communitymissions.org or 285-3403 x2225 with any questions. Thanks again!
What is your first name?
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What is your last name?
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What is your mailing address?
What is the best email address to reach you?
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What is the best phone number to reach you in regards to the Adopt-A-Family program?
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How many children would you like to sponsor this year?
Are you willing to sponsor children from more than one family? (We ask that each family be provided a $25 gift card to TOPS Friendly Markets. If sponsoring more than one family, we will not exceed the number of children you provided above.)
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YesNo
Did you participate as a sponsor in our program last year?
YesNo
Are you participating in the program as a representative of a group? If so, are you representing any of the following:
FamilyClub/OrganizationBusiness
If you are representing a group, please tell us the name of the group below.
Thank you so much for your interest in sponsoring a family this holiday season! We will be in touch soon with more information regarding the program.