Adopt a Youth Holiday Wishlist
By completing this form I agree to support local youth this holiday season by adopting a youth holiday wishlist!
Each youth who is active in our programs may choose up to 3 items (valued at up to $50 each). Community members adopt, purchase, wrap, and deliver (to us) at least one of the requested items. For youth who rarely have their own gifts, this is an incredibly special way to show you care! Thank you so much.
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Full Name (first and last)
I will adopt ____ (number of) youth wishlists this year.
ONE list, please!
Up to TWO lists, please!
Up to THREE lists, please!
Up to FOUR lists, please!
I want to adopt a youth from.....
Required but not shared outside our organization!
Phone number (with area code)
Mailing address (including city, state, zip)
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This form was created inside of Jackson Street Youth Services.