ADOPTER/DONOR FORM FOR CHRISTMAS LISTS

Please view the Holiday Adopters Packet in it's entirety before filling out this form
Adopter/company address(Required)
Would you like to remain an anonymous donor?(Required)
If yes, please remember to drop off all requested items from the family/families no later than MONDAY DECEMBER 13, 2021 to the NVCCF offices.
Please indicate the size of the family you are comfortable adopting.(Required)
Please select 1-5.
Please enter a number from 1 to 5.
If you would like to personally deliver to the family, please reach out to your family directly via email or phone and schedule a time.(Required)
Please let an NVCCF staffer know that this has been done either via phone or email. Please also note that you will NOT be allowed inside the family's home to drop off the delivery and you MUST wear a mask.
HIPPA Consent(Required)
Obligation(Required)