Adopt-A-Family Recipient Application

Palatine Township is busy preparing for its annual Adopt-A-Family Program which provides under-resourced families with Christmas gifts donated by generous members of our community. If you would like your family to be enrolled in this program, please fill out the application online no later than October 16, 2024. This program provides presents for children up to age 18 as well as parents.

To participate you must:

Be a Palatine Township resident
Provide the required documents

Once you apply you will be notified by email if we need any more information. Once you are approved you will be emailed a link to complete your wish list. Please check your email including your spam and/or junk folders.

Pick up for Adopt-A-Family will be December 14, 2024.

Please complete all information below.

General Assistance Case Number

Case Number - Leave blank if not known.

Contact Information

Adult #1 First Name(Required)

Adult #1 Last Name(Required)

Adult #2 First Name

Adult #2 Last Name

Address(Required)

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

Phone(Required)

Email(Required)

Number of Children 18 and Younger(Required)

I am aware that participating in other organizations’ Christmas Programs, i.e. Angel Tree, is strictly prohibited. Agencies will cross reference lists, and if I am enrolled in more than one program I will be removed from the Palatine Township Programs for one year. I hereby authorize Palatine Township to use my photo in Township materials including newsletter, website and to release my name to volunteers/churches, and other organizations. I understand that my name will not be released to soliciting organizations. By clicking this checkbox, it serves as my signature and indicates that I agree with the terms of this program.