To support Children's Hospice of America, a beneficiary, or a participant, please complete the form below.  

Parking Lot and Entrance of Event: $500.00
Event Entertainment Sponsor: $500.00 - Sponsor the entertainment!
Kids Zone: $1,000.00
Butterfly Release: $1,000.00 - Sponsor this beautiful highlight of the event
Water Stations: $1,000.00
Shirt Sponsor: $2,000.00
Other Amount: $.00  (min. $25)

Please enter all information below as it appears on your credit card.
Sponsor Information
For U.S., please only enter the 5-digit zip code
Standard (Name & Amount)
Name Only (Name Only, No Amount)
Anonymous (Amount Only, No Name)
Credit Card Details
Payment by credit card
Month:*  Year:*
(on back of the card)
I want to cover the processing fees for this contribution to Children's Hospice of America.
Wizathon - Developed by PBCS Technology
Server: web1 mySQL: mysql3 Session Id: vg73j5nnpdd272qd3855v9g2u1 Session Name: e1326