In-Kind Donation Form
ADOPT A FAMILY 2026
All gifts are tax-deductible to the fullest extent allowed by law.
MIRACLES FOR KIDS GRATEFULLY ACKNOWLEDGES THE IN-KIND GIFT(S) DESCRIBED BELOW. THIS FORM DOES NOT CONSTITUTE A RECEIPT.YOU WILL RECEIVE A SEPARATE ACKNOWLEDGEMENT FOR TAX PURPOSES ONCE YOUR IN-KIND DONATION HAS BEEN VERIFIED. IRS TAX I.D. #: 91-2160616
Date of Donation
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Donor Name
*
First Name
Last Name
Company Name (if applicable)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Choose all that apply:
*
Permission to repurpose donation if unable to use for original purpose.
Acknowledge and provide donation receipt.
Permission granted to be recognized on social media.
Family ID# (of the family you adopted)
*
Patient's Name
*
First Name
Last Name
Donation Description:
*
Value of Donation (USD)
*
**Please upload receipts:
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