Contact
Celebrate for CHOP
Fundraising Page Information
Page Title
*
Page Link
*
Text entered in this field will be used as the final portion of your page's URL.
Custom page link requirements: only letters, numbers, dashes, or underscores.
Your page link:
https://chop.donordrive.com/campaign
/
Campaign Date
*
Show a date for your campaign on your fundraising page.
Fundraising Goal
*
$
Make a Donation
*
Yes! I’d like to make a donation toward my fundraising goal.
No thanks.
Donation Amount
*
$
Registration Questions
What are you celebrating?
Birthday
Wedding
Baby Shower
Anniversary
Other
If you selected "Other" please tell us what you are celebrating
My page is:
In memory of
In honor of
Honoree First Name
Honoree Last Name
Honoree First Name
Honoree Last Name
My relationship to the honoree is:
[Select...]
Parent
Spouse
Child
Grandparent
Friend
Other
If you selected "Other" above please specify
I would like donations made to my fundraising page to support:
*
Patient Care
Research
The Children’s Fund
A specific area of the hospital
Please list the area of the hospital you wish to support.
Continue To Next Step
Cancel