Apply for Senior Christmas

Nothing embodies the spirit of giving around the holidays more than FreeHelpCK’s Adopt a Senior program. For the 7th consecutive year, our organization will focus on 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 or apply for yourself for our 2025 Adopt a Senior program.

BEFORE COMPLETING THE FORM BELOW, PLEASE MAKE SURE YOU MEET THE ELIGIBILITY CRITERIA FOR THIS PROGRAM.

You are over the age of 65

You live alone and have no family

You have limited mobility and are unable to get out

Your Name(Required)

Your Phone

Your Email(Required)

Relationship to Senior(Required)

Senior's Name(Required)

Senior's Age(Required)

Senior's Date of Birth

Senior's Phone(Required)

Senior's Email

Senior's Address(Required)

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

Please Pick 3 Gifts You Would Like to Receive(Required)

Christmas Candys / Cookies

Lap Blanket

Personalized Tea Towel

Mug Set

Puzzle Books

What Is Something You Need That Is Not On The List?(Required)

**PLEASE PUT A SIZE IF IT'S AN ITEM OF CLOTHING OR FOOTWEAR**

Pet Pantry – Porch Pickup

We believe family means everyone under your roof—including the ones who bark & purr at dinnertime. That’s why we’re launching our New FreeHelpCK Pet Pantry PickUp—a brand-new way to help make sure your furry family members never miss a meal. Please register below for your FREE food pickup so we can ensure tails keep wagging and whiskers stay happy.

Please review the revised program procedures below, as we have implemented recent changes to the FreeHelpCK Pet Pantry porch pick-up process effective August 10th, 2025.

– 48 Hours Notice Is Required.

– Available only ONCE every 30 days.

– Pick Up Hours: 8AM – 5PM

– Registration Required Each Use.

– A Confirmation Notice Will Be Sent To Your Email

– You MUST Pick Up On Your Selected Pick Up Day.

Please check your Junk or Spam folder for your confirmation email, as it may be filtered there by mistake.

NO SHOW POLICY: If you miss your pickup day, you will be marked as a NO SHOW. In that case, your pet’s food will be donated to the next person in line, and you will not be eligible for another pickup for 60 days.

Want to help support our FreeHelpCK Pet Pantry Program? Donations of dry food (kibble) and canned food for both cats and dogs are greatly appreciated and can be dropped off at 35 Oxley Dr., Chatham, or 258 Colborne St., Chatham—every little bit helps! To make a monetary donation, simply click the “Donate” button on our

Register For A Pet Pantry PickUp

PLEASE READ THE REGULATIONS HAS THIS PROGRESS HAS CHANGED!(Required)

PET PANTRY APPLICATIONS REQUIRE A MINIMUM OF 48 HOURS NOTICE.

PICK UP HOURS ARE 8AM TO 5PM.

YOU MUST PICK UP ON YOUR SELECTED PICK UP DAY.

YOU WILL RECEIVE A CONFIRMATION EMAIL ON YOUR PICKUP DAY (PLEASE CHECK YOUR JUNK/SPAM FOLDER).

IF YOU HAVE MISSED YOUR PICK UP, YOUR APPLICATION WILL NOT BE APPROVED FOR 60 DAYS.

Your Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City ZIP / Postal Code

Tell Us About Your Pet(Required)

Name Cat or Dog Food: Canned Or Kibble

Tell Us About Your Pet

Name Cat or Dog Food: Canned Or Kibble

Tell Us About Your Pet

Name Cat or Dog Food: Canned Or Kibble

Choose A PickUp Day(Required)

**PICKUP ONLY ** Please Choose Your Preferred Pickup Location(Required)

**PLEASE NOTE PICKUP WILL NOT BE AVAILABLE AT 35 OXLEY DR. CHATHAM UNTIL FURTHER NOTICE.

258 Colborne St., Chatham

Register an Angel

Apply for Senior Christmas

Pet Pantry – Porch Pickup

Register For A Pet Pantry PickUp