I am over 60, high risk, and need a Match
We are preparing for the potential of a community outbreak of COVID-19 in Stockton by identifying healthy adults who are under 60, whose risk factors are low and who are willing to be paired with an elder or someone with high-risk factors in our community. Once a match is made you and your COVID-19 Match can coordinate the delivery of essential supplies, like food and prescriptions and also be someone who can regularly check in with those who are high-risk by phone or other electronic means.

This match program is being organized by private citizens for the benefit of those in our community. For any additional questions, please contact goods4theelderhood@ffsj.org or contact us at

We will match you with someone in your zip code area as soon as a volunteer becomes available.
* Required
Email address *
Name *
Please enter the product number
Your answer
Phone Number *
Your answer
Street Address *
Choose size and number per color
Your answer
Zip Code
Comments or Questions
Your answer
Preferred contact method *
Required
Questions and comments
Your answer
Neighborhood - please enter your neighborhood for matching purposes. (South Stockton, Downtown, North Stockton, etc.) *
Your answer
Preferred Language for your match
Your answer
I Agree. . . *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Fathers & Families of San Joaquin County. Report Abuse