How can you help us adopt more Seniors this holiday season?

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

SilverTree Seniors is excited to bring back our 5th Annual "Adopt A Senior" program for the 2023 holiday season! Last year, with your help, we adopted over 300 Seniors, and we even had a wait list of adopters! We are starting earlier this year, and we need to know how many Seniors we can get adopted, before we request their wish lists.

We are looking for Elves In Charge (EIC) to help us reach even more Seniors! Our Elves in Charge are coordinators managing the fulfillment of 10 or more Seniors' wish lists through your work, church, school, club/organization, neighborhood, or friends and family.

Please complete this short survey to let us know how you'd like to help!

We will be in touch by November 15th with your Senior(s) and their wish lists. Thank you so much for showing Seniors they are not forgotten!

Questions or ideas you'd like to share? Send us an email, or call/text Julie at 757-389-8864.

Full Name *

Email *

Address, City, State & Zip *

Phone number *

Are you interested in being an "Elf In Charge"? Our EIC's will coordinate 10 or more Senior adoptions in their company, organization, or group of friends. *

Yes! I would love to be in charge of making a difference in the lives of Seniors. Please reach out to me to discuss!

No thank you.

I do not want to be an Elf In Charge, but my company or organization would like to sponsor 10 or more Seniors by making a donation.

Other:

I am not interested in being an "Elf In Charge", however, I would like to adopt a Senior (or a few). How many would you like to adopt?

One

Two

I am unable to adopt a Senior, but would like to help out in other ways.

Other:

Clear selection

If you participated in our Adopt A Senior last year, and you have some suggestions or comments you'd like to share, we'd love to hear from you!

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms