JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Camas Ridge Community Contributor
If you want and are able to provide a donation or contribution to support a family or educational service, please complete the form below to indicate contribution you would like to provide.
Families can also contact Jaime Hock (541-760-6199 or by e-mail at
hock_j@4j.lane.edu
) or Kevin Gordon (
gordon_k@4j.lane.edu
).
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Donor's Name
Your answer
I would like to be contacted about my contribution
Choose
Yes
No
If yes,
How would you like to contribute?
*
I can donate food items
I'd like to contribute gift cards (food, gas, data)
I'd like to donate other items, such as pet food, cleaning supplies, personal hygiene items
I'd like to contribute to a Camas Ridge Care Team fund (funds used to address housing, utility, food, or other basic need of families)
Other:
Other important details or information
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of 4j.lane.edu.
Report Abuse
Forms