Page 117 | Mount Zion Christian Church

Adopt a Family Nomination

Families must reside in the Bloomington-Normal meteroplex.

Nominations must be submitted no later than Nov. 23, 2025

Name (Required)

Email Address (Required)

Please provide a CONTACT NAME and PHONE NUMBER for the family you're nominating. (Required)

What is the family's address? (Required)

How many adults are in the household? (Required)

How many children are in the household? (Required)

Why does this family need our help? (Required)

Please complete the age, sex, and wishlist for each member of the family. In the wishlist, please specify what the person would like to get for Christmas: clothes, toys, books...

If the family is larger than 9 people, please complete a second form for any remaining family members and indicate Part 2 under the family name and contact information.

Person One

First name and age (Required)

Sex (Required)

Male

Female

Wishlist (Required)

What would the person like to get for Christmas. Please include sizes where applicable.

Person Two

First name and age

Sex

Male

Female