Adopt A Family This Holiday Season
Raphael House's 2019 Adopt a Family program helps the families we serve enjoy a holiday season full of warmth and joy without putting their financial stability at risk. With generous support from contributors like you, we will be able to provide gifts to families at risk of or experiencing homelessness. Please be sure to read all instructions and FAQs at before submitting this form. Thank you for your continued support!
Email address *
Company Name
Only fill if donating as part of a corporate or office group.
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First Name *
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Last Name *
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Email Address *
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Phone Number *
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Mailing Address *
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City *
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State *
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Zip *
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Taking into consideration that each family will need a suggested $100 family gift and $150 total expense per child...
(Example: a family with 1 child = $250, a family with 2 children = $400, a family with 3 children = $550, etc.)
How many families would you like to sponsor? *
Note: Please plan on spending up to $100 for the family gift. Read FAQs at for more details.
How many children in total you would like to sponsor? *
Note: Please plan on spending up to $100 per child. Read FAQs on previous page for more details.
How did you hear about Raphael House's Adopt a Family program? *
Please share why you chose to participate in this year's Adopt a Family Program (optional):
Note: Your response may be shared on Raphael House's website or social media.
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