Select at least one available time slot
Enter a first name
Enter a last name
Enter a phone number
Enter a valid email address
Enter an address
Enter a city
Enter a country
Enter a state
Enter a zip
Each year, IICF Midwest Division has coordinated our board's participation in the IWS Children's Clinic Holiday Gift Program. Due to the success of this program, we will expand to The Children's Place, Ignite, and potentially other organizations, depending on interest. Please indicate below your interest in sponsoring holiday gifts this year. Please confirm your intent to sponsor a child (children) or family by filling out this form, and we will work with the nonprofits to provide a wish list with their age and needs. Sponsors should budget up to $100 per individual sponsored. Please respond to this no later than Thursday, September 25
Your Name
Enter a response
Company Name
Email address
Will you sponsor an individual or group?
How many individuals would you like to sponsor this year? (Budget $100/individual)
Do you have a preference of what agency you would like to support this year?
Comments?
By proceeding, I agree to the Terms of Service and Privacy Policy.
