Adopt-A-Mom Nomination Form
Adopt-A-Mom all started 10 years ago when my mom was extremely sick with Cancer. Sadly, we all new it would be her last after battling it for many years. This really made her favorite holiday tough for all of us. So, I did what she would do. I decided to do something for someone else. We now donate gifts to local moms along with Moms at Shelters and Ronald McDonald House in Syracuse.
We donate to moms because they are our unsung heroes in this world. Moms are the ones that make it all happen, no matter what. As moms all we want to do is make sure everyone else is taken care of with no thought of ourselves. Especially in times like we are living in now.
Please fill out this form for a local single mom or a mom struggling from a hardship at this time that could use the extra pick me up this holiday season in Central NY.

Email *
Your name so we can contact you if your nominee is chosen:
Your phone number in case more info is needed *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy