Adopt-A-Family Program

First Name

Last Name

Your email

Cell Phone (or primary phone number)

What size family are you looking to adopt?
2 (one child, one adult)4 (at least one adult)6 +

Will you be adopting a family as:
IndividualFamilyGroup or Organization

If you are adopting a family in conjunction with a group or organization, please list the name of the group or organization.

How do you plan on delivering the gifts?
I will drop off at ToGetHer Empowered Duluth officeI need ToGetHer Empowered to pick up giftsI will bring gifts to ToGetHer Empowered Holiday PartyOther

If Other, provide details.

Adoption Agreement.
I (we) hereby agree to be matched with a family based on my above requested criteria. Once I (we) have been matched with a family, I (we) agree to read their bio and wish list to ensure that I (we) are capable of meeting the holiday needs of the family. I (we) understand that I (we) are not obligated to adopt any family, and I (we) have the right to request to be matched with a different family. I (we) understand that once I (we) have agreed to adopt a family, that family cannot be matched with any other families, and I (we) will be held responsible for meeting the needs of the family. If I (we) are unable to meet the needs of the family, I (we) agree to notify ToGetHer Empowered so that the family may be matched with another donor. Once all gifts have been purchased, I agree to arrange pick up or drop off of the donations to ToGetHer Empowered.
Will you be adopting a family as:
I agree with the terms of agreement as stated above

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