Adopter/Donor form for Christmas lists

ADOPTER/DONOR FORM FOR CHRISTMAS LISTS

Please view the Holiday Adopters Packet in it's entirety before filling out this form

Email(Required)

Phone Number(Required)

Adopter/company name(Required)

Adopter/company address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

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.

Yes

Please indicate the size of the family you are comfortable adopting. Remember, you are only responsible for the children in the family. If you choose to provide other items/gift cards, etc for the family in total, it is optional.(Required)

Small (2-5)

Medium (6-7)

Large (8 or more)

How many total families are you able/willing to adopt?(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)

Will schedule with family

I would like NVCCF to schedule

Please let an NVCCF staffer know that this has been done either via phone or email.

ADOPTER/DONOR FORM FOR CHRISTMAS LISTS

Our mission is to provide social, educational, financial and psychological support services and programs to families of all children diagnosed with life threatening or critical illnesses.

Nevada Childhood Cancer Foundation

3711 Sunset Road, Las Vegas, Nevada 89120

phone: 702.735.8434

email: info@nvccf.org

Donation Form