Commitment Form (due October 28, 2013)
Contact Information:
Name: ______________________________________
Company/Affiliation: ___________________________
Address: _____________________________________
City/ST: _________________________Zip:__________
Email: _______________________________________
Phone Number: _______________________________
Please check your interest below – descriptions attached
1. Youth and Adult Support
___Adopt a child for their holiday wishes
QTY____
___Care Box for Infants (Newborns to 3 years)
QTY____
___Care Box for Senior
QTY____
___Care Box for Homeless Adult
QTY____
___Family Care Baskets (for average family of 4)
QTY____
___Provide stocking stuffers for the holiday party
___ Sponsor a holiday party at our Child Enrichment Center
___Donate $____ to support needs of the Christmas for Kids Program
2. Corporate/Organization Christmas Giving Ideas
___ Homeless shelter needs for Haven Center (Sheets, Towels and Washcloths are needed)
___ Collection drive: ___ Diaper, wipes and formula
___ Hat and Mittens
___ PJ’s
___ New Undergarment & Socks ___ Senior Emergency Kits
___ “Sweets for the Feet” New shoes and socks
3. Neighborhood Alliance Christmas All Year Round
___Sponsor a child at $25 (week) or $100 (month) ______ weeks or ______ months
___Sponsor a child to attend NEIGHBORHOOD ALLIANCE Summer Enrichment Camp ($ 50) QTY _____
4. I can volunteer my time
___ Christmas Party @ Neighborhood Alliance Child Enrichment Services - Linden at Wesleyan (TBA)
N/A Christmas Party @ Neighborhood Alliance Child Enrichment Services - Lorain (TBA)
___ Help in office, organize collections, pack/help deliver senior care boxes
Corporate Payment Preferences
__ Payment enclosed
__ Invoice Me
__ Invoice my Company
Please mail commitment form by 10/28 to:
NEIGHBORHOOD ALLIANCE
457 Griswold Road
Elyria, Ohio 44035
Or Fax to (440) 324-7895
Questions?
440/233-8768
Lori: lorim@myneighborhoodalliance.org
Pat: patt@myneighborhoodalliance.org
2013 CFC Commitment
Commitment Form (due October 28, 2013)
ADOPT A CHILD – The child’s list of desired items and sizes will be provided to you. You shop, label, and wrap items so that they
are ready for a child to open.
FAMILY CARE BASKET - Usable plastic tub or laundry basket containing various items such as paper goods; laundry detergent;
dryer sheets; dish soap; kitchen towels; bath towels and washcloths; cleaning supplies such as mesh sponges, Magic Erasers,
pop-up disinfecting wipes (no liquid cleaners please); personal care goods such as toothpaste, shampoo and conditioner, soap,
hand sanitizers; air fresheners; small holiday decorations.
STOCKING STUFFERS - Supply small toys or useful items for stockings; toothbrush and toothpaste, stickers, small toys, action
figures, candy, gum, etc. to be used for the stockings for our children.
SPONSOR HOLIDAY PARTY - Financially sponsor or provide needed food and beverage items.
CORPORATE/ORGANIZATION CHRISTMAS GIFTING IDEAS - This is an option for your company/organization to customize your
gifts. Ideas are collecting monetary donations or items for our programs, such as homeless shelter (diapers, formula, hats,
mittens, socks, undergarments, small denomination gift card), new bedding and towels for the Haven Center.
NEIGHBORHOOD ALLIANCE CHRISTMAS ALL YEAR ROUND
Sponsor a Child – The State of Ohio subsidized child enrichment contribution has been cut in 2012. Just $5 a day will allow us to
continue to meet the needs of our children. Consider $25 for 1 child for 1 week or $100 for 1 child for 1 month.
Summer Camp – We offer summer camp programs. A donation of $50 will sponsor 1 child for the 8-week Summer Enrichment
program.
CARE BOXES for Infant/Homeless Adults/Seniors – A small shoebox size plastic container filled with miscellaneous useful items
(you supply the plastic box with the items inside).
Infant Care Boxes (Newborn to age 3):
Toys (age appropriate) – Boy/Girl
Toy cars/dolls/musical toys
Stacking and learning toys
Rattles/small hand-held toys
Coloring Books, Art Materials, Stickers
Chunky Puzzles/Shape sorters
Books/Ball
Baby soap/bubble bath/bath toys
Shampoo, Lotion, baby powder
Comb and brush set
Hat and mittens/gloves
Onesies/Socks
Spoons/Forks/Bowls/Cups
Hair Ribbons (Girls only)
Teething Rings
Grooming set/ Tweezers
Electric razors
Undergarments/Bras
Combination locks
CD players
Radios
Gift cards for gas, fast food, drug
stores, Walmart, Kohls
Notecards and stamps
Paper and pens
Tissues/handkerchiefs
Eyeglass cleaner
Multi-purpose tools
Ornaments
Fleece throw
Stretchy socks
Scarves/knit hats/stretch gloves
Holiday issue magazines
Air fresheners
Kitchen towels
Personal Care
Combs, soft hairbrush
Toothbrush and paste
Band-aids/ First aid cream
Deodorant/ Shampoo
Nail clippers/ Tweezers
Disposable razors
Pill box/ Tums
Soap/ Body wash
After-shave lotion
Body lotions
Light fragrance sprays
Towels (bath and hand)
Emery boards/nail file
Chapstick/lip balm/lipsticks
Small Gifts
Bracelets
Picture frame
Haven Shelter Adult Care Boxes:
Body spray/Cologne
Nail polish/Hair ties for women
Watches
Non-disposable razors
Senior Care Boxes:
Food Items
100 Calorie snack packs
Pudding/Jell-O/Fruit cups
Fruit snacks (vitamin C)
Gum and candies, chocolates
Peanut butter and jelly
Dried fruits
Salty snacks/ Sweet snacks
Coffee and teas
Cheese and cracker packs
Household Items
Flashlights/Batteries
Transistor radios
Magnifying glass
Large print puzzle books