Adopt-A-Mom Nomination Form
We donate gifts to local moms along with Moms at Ronald McDonald House in Syracuse.
Please fill out this form for a local single mom or a mom suffering from a hardship at this time that could use the extra pick me up this holiday season in Central NY.
Email address *
Your name so we can contact you if your nominee is chosen:
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy