All information provided below will be treated strictly confidentially and will only be used only for Special Kids, Inc.'s internal purposes.  This is NOT considered to be a legal financial obligation. Special Kids, Inc. recognizes that values are subject to change and dependent upon unforeseen circumstances.  This information will be used only to help Special Kids, Inc. project possible future financial support and is not considered a legally binding obligation.

Name *
Address *
Phone *
Special Kids, Inc. recognizes donors who support the mission of the organization. Would you/your spouse like to be recognized for your gift to the organization: *
As an indication of my/our support for Special Kids, Inc., I/we am pleased to confirm that I/we have made a provision for Special Kids, Inc. as follows: *