Christmas Adopt-A-Family Program

Donor Form

 

Print The Donor Form

 

Drop Off Dates/Locations

 

THANK YOU for considering adopting one of our families for Christmas. Each family that MFCAA pairs with a donor is making the ultimate commitment to our future by caring for the abused and neglected children of our community. Most of these families have opened every bed in their house in an effort to provide love and stability for their children, and that often creates a financial strain on the family. They greatly appreciate the generosity of people and organizations like you and yours, that help them provide a Merry Christmas for the children in their care.

 

Please read the following information before filling out the form below.

DONOR FORM

 

Company/Group Name   

 

Contact Person   

 

Street   

 

City   

 

State   
 

Zip   

 

Phone   

 

Email

 

Best Contact   Phone    Email

 

Do you want to deliver your gifts to the family/children you adopt?  Yes   No

 

Where did you hear about MFCAA's Christmas Program?:

Participated Last Year

MFCAA Newsletter

From a Member (foster/adoptive parent)

Website/Internet Search

Newspaper

Other

 

I want to adopt a family/children for Christmas , and will complete the Family Request section below.

I'd like more information on making a monetary donation to the Christmas Program.

I'd like to have an angel tree at my organization, and would like to have children on the tree.

My organization parking lot and lobby/reception area are available to be used as a drop-off location.


FAMILY REQUEST (please choose one: "Family" or "Children Only")

 

Adopt a Family - Many families greatly appreciate small household items such as laundry detergent and cleaning supplies, and some are in need of items such as bath towels and small kitchen appliances. If you would like to adopt a family, you will receive a list of "Family" needs and wants, as well as the children's needs and wants (it is your choice to provide as few or as many of the family wants as you are comfortable purchasing).

 

 # of People     # of Children    
If you list a large number of people, and we have two families that total that number, is it OK to give you more than one family?   Yes   No

 

Age of Children (choose as many as are applicable):  No Preference   Toddler (baby-4 yrs)    Youth (5-10 yrs)  
Preteen (11-13 yrs)   Teen (14-18 yrs)

 

Gender of Children: No Preference    M    F

 

-OR-

 

Adopt Children Only

 

# of Children  

 

Age of Children (choose as many as are applicable):  No Preference   Toddler (baby-4 yrs)    Youth (5-10 yrs)  
Preteen (11-13 yrs)   Teen (14-18 yrs)

 

Gender of Children: No Preference    M    F

 

Notes/Special Requests

 

Please Choose One:
I dot not wish to participate if my request cannot be matched exactly.

I am comfortable letting staff match me as closely as possible with my requested family/children.

 

Thank you again! We will send a confirmation email within 5 days of submission.

 

Drop Off Dates/Locations

 

Wednesday, Dec 3, 10a-4p
Space Center Executive Park/Storage Facility* at 1500 West Geospace Dr (Independence)

Thursday, Dec 4, 10a-4p

Space Center Executive Park/Storage Facility* at 1500 West Geospace Dr (Independence)

Thursday, Dec 4, 10a-2p

First Church of the Nazarene/ 119th & State Line Rd

 - we will have a UHaul parkeingin the lot (you will be able to see us from the road)

Wednesday, Dec 10, 10a-4p

Space Center Executive Park/Storage Facility* at 1500 West Geospace Dr (Independence)

 

 

If you need to schedule a drop-off time other that those available at the Storage Facility (as listed above) please call us at 816-350-0215 by Nov. 25 - as we will be at the warehouse the first week of December, we will be unable to take your calls (there is no cell phone coverage there). If you have an emergency between Dec. 1 and Dec. 5th, you can leave a message with the MFCAA staff member that remains at the office (816-350-0215), but we will most likely not get that message until late afternoons/evenings.

 

* Directions to the Storage Facility in Independence:

I-70 to

291 North to

Independence Ave (turn Right/East)... Independence Ave is about 4 miles past the I-70, 291 Interchange

Follow Independence Ave toward the big blue sign, and go Left at the sign (into the East/West "tunnel")

You will follow the drive into the "tunnel"/underground - inside the tunnel, follow the One Way signs (the signs will lead you to the right)

Several yards after the first One Way sign, you will see a loading dock on the right (the loading dock is about .2 miles past the big blue sign)

You can pull right up to the dock to unload your gifts. Please don't block other vehicles when pulling into the dock area. There are also parking spaces along the right wall (you will see them immediately as you veer right at the One Way signs) where you can park and either carry your gifts to the dock (if you can carry them), or wait a few minutes for a space to open up in the unloading area.