2019 Adopt A Family Sponsor Application

Please complete the form below if you would like to sponsor a child/children as part of the Adopt a Family Winter Program. The completed form will help the Office of Access & Opportunity provide donor-recipient match information to each sponsor. Matches will begin as early as November 1st and Continue through December 3rd. Therefore, we ask that sponsors complete this form as early as possible.

We ask that each donor spend at least $100 per child on new clothes, a special gift, and possibly a gift card for the family. Please take this into consideration when determining how many children you or your organization would like to sponsor. Gifts should be delivered to the JCPS Satellite Office at Shawnee (4018 W. Market St Louisville, KY 40212) by December 2nd, 2019. That said this office will work to meet the needs of emergency requests for our most vulnerable families. Therefore, donor-recipient matches could take place until the last day of the program December 6th, 2019. We will work with any last minute sponsors to help ensure gifts are received and loaded in time for the Winter Celebration.

Gifts will be distributed during the Winter Celebration on December 6th at Shawnee High School (4018 W. Market St. Louisville, KY 40212) from 6:00-8:00 PM.
Email address *
Organization or Department
Your answer
Contact Person (First & Last Name) *
Your answer
Contact Number
Your answer
Number of students you would like to sponsor (we request that sponsors spend at least $100 per child) *
Your answer
Would you or anyone in your organization/department like to volunteer for the Winter Celebration on December 6th? (Volunteer opportunities will include: packing food baskets, loading /unloading gifts, serving foods, assisting with gift distribution)
Is it okay to recognize you, your organization, or your department by name as a sponsor
If you would like to make a monetary donation using a Debit or Credit card please follow the link: http://tiny.cc/adoptfam
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy