Loss Family Sign Up for Matches
If you lost your home or been severely impacted by the recent fires in Sonoma and Napa, please fill in the form below so that we can help match you to 10 volunteer families who would like to help you get back on your feet!

For any questions or more information, please contact us at:


All information provided below will be kept confidential and only shared with the coordinator assigned to you.

Email address *
PLEASE NOTE WE ARE UNABLE TO MATCH ANY MORE FAMILIES AT THIS TIME. However, if you would like to be placed on a waiting list for help, please feel free to fill in the form below and we'll match you as soon as we get more match families in.
Unfortunately due to recent positive publicity we have too many loss families and not enough match families just yet. We are working hard on identifying more match families to help you but we are currently not able to match anymore loss families at this time. If you would like to be placed on a waiting list to get paired with match families once more become available, please fill in the form below.
First and Last Name *
Your answer
Phone Number *
Your answer
How did you hear about the Family Matching initiative? *
How many people are in your household? *
Are there any children in your household? *
If you are a family with children: number of children, gender and age of Children
Your answer
Are there other relatives in your household? *
If there are other relatives in your family: Number of relatives, age and relationship
Your answer
Are there any pets in your household? *
If there are pets in your household: number and type of pet(s)
Your answer
Tell us a bit about yourself and your family - occupations, hobbies, etc. *
Your answer
What are the top 5 types of things you need help with? (Make sure to scroll all the way to the right) *
Replacing items - furniture
Replacing items - kitchen
Replacing items - school supplies & books
Replacing items - animal food/ toys/ etc.
Replacing items - toileteries
Replacing items - sports equipment
Car/ transportation
Replacing items - clothes
Replacing items - toys
Other (see next question)
1st priority
2nd priority
3rd priority
4th priority
5th priority
If you answered "other" in the last question, what do you need help with?
Your answer
What is the address of the house that was lost or severely damaged by the fires? This is to help us verify that only families affected by the fire receive help. *
Your answer
Do you own or rent your home?
A copy of your responses will be emailed to the address you provided.
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