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Name
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First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone Number
*
Email
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Verify Email
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Donation Amount
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$25
-
Sponsors Mailing Course Supplies to Families
$50
-
Sponsors 1 Case Management Session
$100
-
Sponsors 1 Family for VELA Courses
$250
-
Sponsors Monthly Support Groups
$1,000
-
Sponsors Family Fun Day: Play for All Abilities Saturdays
$
Is this a one time or monthly donation?
One Time
Monthly
Is this donation in honor of someone?
Let us know their name and address and we can send them a card on your behalf.
Add 3% to my total to help cover processing fees!