Pump up the Kids Adopt a list.
Thank you for participating in this years Pump up the Kids Program. Without your help many of these Foster teens would have no Christmas at all. Please fill out the information below. Once you do you will receive an email from us with your Teen's wish list and instructions on how to shop and what to do next.
All donations are 100% tax deductible.
Pump up the Kids Adoption form
Name *
Your answer
Phone Number *
Your answer
Best time to contact me *
Email *
Your answer
Would you like to adopt a boy or girl *
Would you like to adopt a teen from Anchorage or the Valley. *
My Company or organization would like to help.
There are multiple ways that your company or organization can help. Option A: Do a fundraiser among employees, donate funds raised, then we shop or employees do the shopping themselves. Option B: Make a donation directly to the program then we do the shopping. Option C: Adopt one or more list.
Your answer
Company point of contact.
Your answer
Phone or email address
Your answer
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This form was created inside of Alaska Integrated Media.