Join the Dream Team today!

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Complete This Form to Make Your Dream Team Pledge!

By pledging to raise $1,000 in one year, you can offer ongoing help, hope and healing to children in our community.

Dream Team Members are considered advocates/supporters who raise money to "catch the dream" of a child's right to be "seen, heard, and believed." Survivors receive all of the supportive services to heal emotionally and physically free of charge.

Email *

Member Type *

Individual

Team (more than one member)

Required

Today Marks your start date: *

YYYY

CONTACT INFORMATION

Please complete all contact information for the Primary Dream Team Member

First & Last Name *

Team Name (if not an individual pledge)

Address - Street, City, State, Zip *

Phone Number *

PAYMENT OPTIONS *

One time payment of $1000

Automatic Withdrawal throughout the year (quarterly, monthly, bi-weekly, or weekly options)

Pay as you go - this allows you to pay as you earn, adding up to your pledge amount throughout your pledge year

Required

Any other questions or information please list below

Send me a copy of my responses.

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