*1.Name(Required.)

*2.Contact info (email or phone - whichever is better to reach you)(Required.)

3.In what ways are you able to “adopt a family”?

Pay for urgent needs only

Pay for urgent needs + grocery shop

Pay for urgent needs, grocery shop, + deliver

I can’t adopt a family, but I want to donate urgently needed items

*4.How much would you be able to commit to spending for your family per week? (This will determine whether you are partnered with a smaller or larger family)(Required.)

*5.With these being uncertain times, how many weeks are you able to volunteer/donate?(Required.)

*6.What is your zip code?(Required.)

7.If you selected that you are able to deliver groceries to your “adopted” family, how far are you willing to drive?

8.Comments/questions.