Thank you for your interest in adopting a Ruth Harbor resident for Christmas! Please complete the information below and click on "submit." A Ruth Harbor representative will be in touch with you within 2 business days to confirm receipt and provide more details.
Yes, I/we would like to adopt a Ruth Harbor resident for Christmas!
Please provide a primary contact name (first & last) below.
Please list as ###-###-####
What is the best way to reach you during the day?
Please check at least one.
Phone # listed above
Email address listed above.
We want to ensure this is a blessing for you too...
Please review & check ALL of the boxes below before submitting your interest form.
I understand the items on the list will total around $100, and I should try to limit my purchases to around $100, if possible.
I understand the list may include specific items (sizes, colors, brands, etc.) from specific stores and I am willing to do my best to purchase what is requested.
I understand the items need to be new and I will be able to provide a receipt or gift receipt.
I understand that I should deliver the items wrapped in Christmas/holiday paper.
I understand all of my items need to be delivered to the Ruth Harbor Ministries office during office hours no later than Wednesday, December 11th.
Comments or questions?
If you have any specific comments or questions, please list them here. Once you click on "Submit" below, a Ruth Harbor representative will be in touch with you within 2 business days to confirm receipt and provide more details.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service