First Name (required)

Last Name (required)

Which Island do you reside on? (required) Select Value Hawaii Island Kauai Maui Oahu

Are you registering as a company, group (family/friends), or individual? (required) Select Value Company Group (family/friends) Individual

Which best describes your group? Select Value Church Group Family/Friends Social Club Work/Co-workers

Company Name

Department

Name of Group

Phone Number (required)

Email Address (required)

Communication Preference (required) Select Value Both Email SMS

Will this be your first time participating as a donor for Adopt a Family? (required) Select Value Yes No

How many years have you been a donor?

Would you be interested in being in a feature with one of our media partners? (required) Select Value Yes No

How did you hear about Adopt a Family? (required) Select Value Agency Employer Family/Friend Google Import News/Radio Online Submitted Other Social Media TV/Radio Word of Mouth

Employer Name

Family/Friend Name

News Outlet Select Value Hawaii News Now Honolulu Star-Advertiser KITV4 Other

Social Media Outlet Select Value Facebook Instagram LinkedIn X

There are several programs that assist struggling families during the holidays. Why did you choose to support Adopt a Family this year?

Would you like to volunteer for Adopt a Family? (required) Select Value Yes No

Number of families you would like to adopt? (required)

Household size preference? (required) Select Value Small (1 - 3 Individuals) Medium (4 - 6 Individuals) Large (7+ Individuals)

Type of families you want to adopt? (required) Select Value Any Type Couple with Children Elderly Single or Couple Multigenerational Household Single Adult Single Parent

Additional preferences?
To assist with the matching process, state additional preferences that you are looking for in a family to adopt. We will do our best to match you with a family based on your preferences, but we may not be able to fulfill your request.

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Once we have families available for adoption, we will send you an email and attach several family forms for you to review.

You will have 3 days to respond with your selection. If we do not receive a response within 3 days, we will release the unselected families.

When you notify us of your selected family, we will email you a confirmation letter with instructions to: 1) schedule an appointment time to drop off your donation, and 2) how to drop off your donations. Donation drop offs are by appointment only.

Donor acknowledgement (required) Select Value I Understand