7/2018
Page 1 of 2
1062.02B
PRE-APPROVED LIST OF DONATIONS OF GOODS
Instructions: Please place the quantity of the item you will be donating in the column to the left. For any items you will
not be donating, please leave blank. This form will need to accompany all goods donated to Adobe Mountain School at
the Sallyport along with Form 1060.02A/GAO-802 Donation Acknowledgement and Receipt.
HOUSING UNIT NEEDS
Footballs
Basketballs
Soccer balls
Volleyballs
Frisbees
Checkers (Plastic pieces only)
Dominoes (No metal containers/boxes)
Chess (Plastic pieces only/no glass/no metal containers/boxes)
Uno
Playing Cards
Flat Irons/Blow-dryers
MISCELLANEOUS
Electronic Games for PS 2 and X Box 360 sports-related rated “G”
Approved religious holy books and materials (no staples)
DEPARTING JUVENILE NEEDS (No metal or glass containers / No alcohol-based products.)
Shampoo
Conditioner
Deodorant
Lotion
Soap
NEW CLOTHES FOR BOTH MALES OR FEMALES (All sizes)
Jackets
Pants/Skirts/Dresses
Tops
Underwear/Socks/Bras
Shoes
Hair ties
7/2018
Page 2 of 2
1062.02B
PRE-APPROVED LIST OF DONATIONS OF GOODS
Instructions: Please place the quantity of the item you will be donating in the column to the left. For any items you will
not be donating, please leave blank. This form will need to accompany all goods donated to Adobe Mountain School at
the Sallyport along with Form 1060.02A/GAO-802 Donation Acknowledgement and Receipt.
HOLIDAY CONTRIBUTIONS (To be collected October 30th-December 30th)
NON-FOOD ITEMS
Puzzle and word search books (no staples)
Socks (Ankle/White/No color writing)
FOOD ITEMS
Cup of Noodles
Individual sized boxes of sweet cereal
Candy bars
Individual sized bags of chips (no metal canisters, i.e. Pringles)
Candyhard and chocolate (no lollipops with sticks, no candy canes, no gum, no foil, no taffy)
Cookies (Butter sugar/Chocolate chip) factory-sealed or store-purchased
SPECIAL EVENTS: Chayah (Agape Feast), Christmas, Thanksgiving, Approved Religious Retreats and Scouting Events
Only factory-sealed or store-purchased food items. No home-cooked food shall be accepted.
Employee’s Signature
Date