Adopt-A-Family Recipient Application Form


Palatine Township Residents:

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.

You must be a Palatine Township Resident and submit required documents to participate.

If you would like your family to be enrolled in this program, please fill out the application online no later than October 14, 2022.

Pick up for Adopt-A-Family will be December 10, 2022.

After submitting your application, you will be notified by email if you are missing or need to update any or all documents.

You will receive your wish list via email. Please check your email including your spam and/or junk folders.

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2022 Adopt-A-Family Recipient Form

Application for Adopt-A-Family Program
  • Please complete all required fields.
  • If you participate in Township Programs, please provide your Case Number, found on your Food Pantry card or correspondence.
  • This field is for validation purposes and should be left unchanged.
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