In-Kind Donation Form_ rev

Please complete this form so that we can properly credit your donation and schedule a drop-off appointment. Questions? Contact our Volunteer Services Donation Coordinator via the contact information below.

(414) 266-2183 | toydonations@childrenswi.org

Please let us know your preferred drop-off time(s). Monday through Friday 9:00 am to 2:00 pm. A member of our Volunteer Services team will reach out to schedule a drop-off appointment.

Preferred drop off time(s)

i.e. Mondays after 1:00 p.m.

Name*

First NameLast Name

Organization

I would like to remain anonymous

Yes

Email*

example@example.com

Phone Number (for drop-off coordination)*

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

This donation is in honor/memory of: *Note: We’d love to know if your donation is in honor of someone. We have options for how you might want to further honor this individual through your gift. Our donation policy does not allow us to distribute gifts with names or photos of specific individuals including past or current patients, staff members, etc.

First NameLast Name

Estimated value of items*

Description AND quantity of items donated*

What inspired you to donate?

I can confirm items are new (purchased within 90 days), in original packaging and come from a smoke-free and pet-free environment .*

We care for kids who may have experienced significant violence or trauma. I can confirm items are free from violence, unhealthy habits, religious or otherwise inappropriate themes.*

We promote the social, dental, physical and mental health of those we serve. I can confirm the items I wish to donate promote healthy habits.*

We care for kids and families of all religious and spiritual backgrounds and beliefs. We are unable to match donations with specific religious themes to kids and families with corresponding beliefs and practices due to our limited resources. I can confirm the items I wish to donate are free from both generic and specific religious or spiritual themes or messages.*

My family has received care at Children's Wisconsin*

I would like to receive Children's Checkup, a monthly e-newsletter from Children's Wisconsin that shares inspiring patient stories, news and information on upcoming events.*

I am open to receiving communication about future in-kind needs.*

Thank you!