| Donation Form | |
| Thank you for taking the opportunity to make a difference in the lives of our children. Your gift will assist Casa Angelica greatly in meeting our childrens' ever growing and changing needs. | |
| Amount of Gift: __$50 __$100 __$250 __$500 __$1000 __Other$____________ | |
| Please designate how you wish your tax-deductible contribution to be used: | |
| Education Program | |
| __ Use where needed most | |
| Therapy Program | |
| __ Equestrian Therapy $2,160 (two children for summer program) | |
| __ Physical Therapy $35/hr | |
| __ Occupational Therapy $35/hr | |
| __ Music Therapy $35/hr | |
| __ Speech & Language Therapy $35/hr | |
| __ Aquatics Therapy $20/hr | |
| __ Use where needed most | |
| Activity Program | |
| __ Adaptive Ski Program $175 (for one child) | |
| __ Camp (all inclusive with necessary personnal is approximately $3,000 a child) | |
| __ Use where needed most | |
| General Donations | |
| __ Help with daily expenses | |
| On behalf of the children whose lives will be changed because of your giving spirit, thank you. | |
| We invite you to check with your employer for matching contributions. | |
| PRINT
this form and MAIL along with contribution to: |
|
| Casa
Angelica (505) 877-5763 |
|