Donor Information

Please Select One
  • Individual
  • Corporation
  • Community/Civic Group or Foundation
State / Province*
Confirm Email*

What could your gift do?

Donation Amount*
  • $1,000 to adopt one (1) long-term family
  • $2,000 to adopt two (2) long-term families
  • $3,000 to adopt one (3) long-term families
  • Other $
Matching Gift
  • I am employed by a company that may match this gift and I will contact my HR office to process the paperwork required.
Gift Privacy Preference
  • I would prefer to stay anonymous.
My plaque should read (up to 22 characters/ line & up to 3 lines)*
Please indicate how you would like your name to appear in our newsletter, annual report, and website.*
What brought you to the site to give today?
  • E-Newsletter
  • Social Media (Facebook, Twitter, YouTube)
  • Regular Media (Radio, Television, Newspaper)
  • Direct Mailing to my home or business
  • Special Event (McDazzle, Golf, Red Shoe Events, Keeneland, etc)
  • Other

Payment Information

Name on Card*
Card Number*
Additional Comments

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