Adopt-A-Family Submission — Welcome To Urban Reset Foundation

Adopt-A-Family Drive

Urban Reset Foundation understands that help is needed in so many different ways during the holidays. Through donations from our drive we have had the pleasure of assisting more then 20 families. Thank you for trusting us and allowing us to be of service to your family during the holiday season.

Name Of Person Nominating

Please provide your name if you are nominating someone or if you are nominating yourself.

First Name

Last Name

Please provide the email address for the person being nominating.

Phone

Please provide a valid number where the nominated individual can be reached, if you’re selected.

Country

(###)

###

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Who is it for?

Please tell us if it’s for yourself, someone else or both?

Nomination

Please tell us about the hardship that you or the person you’re submitting on behave of, are currently experiencing. How will this help them/you and their/your family? The giveaway is based on hardship.

How many people are in the household currently?

Please tell us how many people are in the home.

1-2

3-5

Delivery Time

If you are selected, delivers will be on November 23rd, starting at 10am, based on your location. Please give us a time slot that works for you.

10am- 12p

12p- 2p

After work hours (6p or later)

Adopt-A-Family Drive

Mailing Address

Hours

Contact