Fill The Gap – Form
Please complete the form below.
** Please note submissions require a minimum of 10 days notice **
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.