Donation Application
Thanks for your inquiry. Please use this form to provide and upload pertinent information regarding your request. Please allow two weeks for review and processing. Final determination will be provided via email to the address provided below.
Organization Information:
Type a question
*
Please Select
Public School
Private/Independent School
Daycare
Non-Profit
Organization Name:
*
Organization Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If applicable, is your school designated as a Title I school?
Yes
No
Provide the Organization's Mission/Purpose Statement
*
Provide the Organization's Website
*
Contact Person Information:
Contact First Name
*
Contact Last Name
*
Contact Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email Address:
*
Event Information
What is the date of the fundraising event (Gala, Soiree, Cabaret)?
*
-
Month
-
Day
Year
Date
Donation Request
What item would you like donated?
*
Please Select
1 Gift of Play (Admission for One Adult/One Kid)
2 Gift of Plays (Admission for Two Adults/Two Kids)
Today's Date:
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: