Sponsor A Date
a fundraiser for ATD Blue Heat
Donor Name
First Name
Last Name
Select which dancer to whom you're donating
Please Select
Ahlexii Boegen
Della Coleman
Emmerson Painter
Date selection
Donor's Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date selection totals (Only 1 date is required but if you wish to sponsor more than 3 dates please email us)
prev
next
( X )
Sponsor a date
enter the amount that correlates to the date you'd like to sponsor (i.e. the 3rd = $3)
$
1.00
date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Sponsor a date
enter the amount that correlates to the date you'd like to sponsor (i.e. the 3rd = $3)
$
1.00
date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Product Name
enter the amount that correlates to the date you'd like to sponsor (i.e. the 3rd = $3)
$
1.00
date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
Should be Empty: