Nominate a Senior

Nothing embodies the spirit of giving around the holidays more than FreeHelpCK’s Adopt a Senior program. For the 6th consecutive year, our organization will be focusing our attention this upcoming holiday season by accompanying and delivering a festive holiday dinner, and gifts to seniors who are alone on Christmas Eve.

Please complete all the information in the following form to nominate a senior, for the our 2024 Adopt a Senior program.

Birthday Boxes

Every child deserves to feel special on their birthday, but for families facing financial challenges, celebrating can be difficult. Our Birthday Boxes provide children in need with a box full of party essentials, from decorations to cake baking supplies.

This program supports parents so that children can enjoy and celebrate important milestones, even when resources are limited. If your family could use a Birthday Box, please apply using the form below.

Apply For A Birthday Box!

Parent Legal Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Are You Employed?(Required)

Yes

Laid Off

Child's Name(Required)

First Last

Child's Date Of Birth -mm/dd/yyyy(Required)

Boy or Girl?(Required)

What Age Is He/She Turning?(Required)

Please Provide A Brief Description Of Your Child's Interests(Required)

Register an Angel

Nominate a Senior

Birthday Boxes

Apply For A Birthday Box!