2021 Holiday Program Holiday Program "Adopter" Form Please fill out the form below to indicate your interest in “adopting” local children in need for the holidays this year. Questions? Email firstname.lastname@example.org. Your Name* Company Name (if applicable) Address* City, State, Zip* Phone Number* Email* How many children would you like to "adopt"?* Please indicate your gender preference.* Girl Boy No Preference Please indicate your age preference.* Infant - 5 years 6 - 12 years 13 - 18 years No Preference Can't adopt this year? Click here to make a gift to support the Holiday Program instead!