Adopt-A-Family Application
Thank you for uniting with ToGetHer Empowered, Inc. to give the gift of love this holiday season by adopting a family in need. Please fill out this application to provide us with information about you, your family, or your group/organization so that we may partner you with a family to adopt that meet your specific need. Thank you again of your partnership.

Sincerely,

Dr. Olivia Al-Mahdi

Email address *
Will you be adopting a family as: *
First Name *
Your answer
Last Name *
Your answer
If you are adopting a family in conjunction with a group or organization, please list the name of the group or organization.
Your answer
Phone Number *
Your answer
How do you plan on delivering the gifts? *
What size family are you looking to adopt? *
Adoption Agreement.
I (we) hereby agree to be matched with a family based on my above requested criteria. Once I (we) have been matched with a family, I (we) agree to read their bio and wish list to ensure that I (we) are capable of meeting the holiday needs of the family. I (we) understand that I (we) are not obligated to adopt any family, and I (we) have the right to request to be matched with a different family. I (we) understand that once I (we) have agreed to adopt a family, that family cannot be matched with any other families, and I (we) will be held responsible for meeting the needs of the family. If I (we) are unable to meet the needs of the family, I (we) agree to notify ToGetHer Empowered no later then November 17, 2017 so that the family may be matched with another donor. Once all gifts have been purchased, I agree to arrange pick up or drop off of the donations to ToGetHer Empowered no later then December 20, 2017.
Check here if you agree with the above listed terms of agreement *
Required
Today's Date *
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