Be a CIS Playground Hero Donation Form

Be a CIS Playground Hero

Become a Playground Hero and help us build an exciting outdoor space for our children to thrive. Sponsors will be recognized on permanent signage at the new playground!
Name

First NameLast Name
Email
example@example.com
Agility Pods $350Wall Stone Climber $2,000Set of Two Swings $2,200Double-Wide Slide $2,500Basketball Goal (3) $2,500Hoop Alley $3,000Multi-User Arch Swing $3,000Web Wall Stepper $5,000Sagging Climber Web Wall $5,000Three-Legged Climbing Wall $5,500Silo Scramble $6,300Straight Slide $6,500General Playground Donation

Total Donation for Playground Equipment*

USDEnter Your Donation Amount

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country