Request edit access
The Salvation Army, Manatee County Adopt-A-Family Registration Form
You can choose to adopt an angel family, make a donation or both. Please complete the required information below.
Contact First Name *
Please provide your first name or that of the primary contact person for your organization, business, church, etc.
Your answer
Contact Last Name *
Please provide your last name or that of the primary contact person for your organization, business, church, etc.
Your answer
Business Partner Name
Please enter the name of your business, church group or organization. If you are registering as an individual, please leave blank.
Your answer
Address *
Please enter a valid mailing address.
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone *
Enter the phone number you can be reached at during business hours.
Your answer
Email *
The Salvation Army does not sell or share your contact information.
Your answer
Number of children *
Please enter the number of children you would like to adopt. You will be matched with a family or families based on your answer.
Your answer
Amount of Donation
Please enter the amount of your donation. This is a required field, please enter 0 if no donation.
Your answer
Make a donation
**If you make an online donation, you will be taken to another page. Please return to this page after making your donation and hit submit.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service