Palatine Township

721 South Quentin Road, Suite 101, Palatine, IL 60067
847-358-6700 | | (847) 358-2888

Adopt A Family Recipient Application

Palatine Township Residents:

Palatine Township is busy preparing for its annual Adopt-A-Family Program which provides under-resourced families with Christmas gifts donated by generous members of our community.

You must be a Palatine Township Resident and submit required documents to participate.

If you would like your family to be enrolled in this program, please fill out the application online no later than October 14, 2022.

Pick up for Adopt-A-Family will be December 10, 2022.

After submitting your application, you will be notified by email if you are missing or need to update any or all documents.

You will receive your wish list via email. Please check your email including your spam and/or junk folders.

General Assistance Case Number

Contact Information

I am aware that participating in other organizations’ Christmas Programs, i.e. Angel Tree, is strictly prohibited. Agencies will cross reference lists, and if I am enrolled in more than one program I will be removed from the Palatine Township Programs for one year. I hereby authorize Palatine Township to use my photo in Township materials including newsletter, website and to release my name to volunteers/churches, and other organizations. I understand that my name will not be released to soliciting organizations. By clicking this checkbox, it serves as my signature and indicates that I agree with the terms of this program.