The HBA AIDS Outreach Committee recruits individuals, families and firms/companies to “adopt” a needy family or individual affected by HIV/AIDS during the holiday season. Adopting entails shopping for and delivering items from a wish list. Please fill and submit the form below to sign up as an adopter, and the committee will match you with a family in need. Alternatively, click here to download, print and submit a physical copy of the form.

  • You may use an individual's name, a family's name, or the name of an organization, company or firm.
  • (i.e., single children or single adults.) Leave blank if 0.
  • (i.e., 2-4 family members.) Leave blank if 0.
  • (i.e., 5-6 family members.) Leave blank if 0.
  • (i.e., 7 or more family members.) Leave blank if 0.
  • Please explain how you learned about the Adopt-a-Family Gift Drive. If someone referred you directly, what was the referrer's name?


Contact Bonnie Simmons at (713) 759-1133 or with any questions regarding this program.