Kids Helping Kids Fundraising Form

Get Involved

Kids Helping Kids Fundraising Form

The Kids Helping Kids program celebrates and empowers kids, tweens and teens interested in raising funds to help patients and families at American Family Children's Hospital.

Please complete the form below to let us know about your Kids Helping Kids fundraising activities.

Photos

We love to share your photos with our staff and patients. Please send your photos via e-mail to Lori Schultz or by mail to: Lori Schultz, American Family Children's Hospital, Mail Code 9920, 600 Highland Avenue, Madison, WI 53792-9945

 

Contact Information

 
Organization
 
Age range of participating kids:
Birth to 3 years old
3 to 5 years old
5 to 9 years old
10 to 13 years old
14 to 18 years old
 
Principal's Name
 
Organization Contact Name/Title
 
E-mail Address
 
Phone Number
 
 
Address
 
 

Fundraiser Information

 
Date and time
 
Campaign:
Caps for the Cure
Change Harvest
A-Thon
Be Brave, Go Bald
Peter Pan Birthday Party
Other (please specify:  )
 
Why did you/your group do a fundraiser?
 
Were the students part of a group?
Student Council
DECA
FBLA
NHS
Key Club
Student volunteers
Sports team (please specify:  )
 
Have you done an American Family Children's Hospital fundraiser previously?
Yes
No
 

Gift Information

 
How much did your fundraiser raise?
 
Your contribution will support (please select one):
Area of greatest need
Patient and Family Fund
Beat Childhood Cancer Fund
Child Life Fund
 
Why did you choose to support this fund?
 

Follow Up Information

 
May we have permission to list your school on our Web site and other promotional pieces (e.g., annual reports)?
Yes
No