Testing Donation

• I would like to make a tax-deductible gift of:
• • $500
  • $250
  • $100
  • $50
  • Other
• provides three hours of therapy in a school-based setting, where families have easier access to the support their child's needs
• enables a therapist to complete intensive, in-home parenting skills training for a family
• allows for a child to attend Washburn Center's Intensive Day Treatment classroom by covering transportation costs for a week
• supports a child's healing by providing a year's worth of therapeutic tools used during play therapy
• Frequency*
  • One-time donation
  • Monthly donation
• I would like to make this gift in honor or memory of someone:
  • In honor
  • In memory
• Honoree's name
• Memorial's name
• Please send notification of my gift to:
• Firstname Lastname
• Address
  Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Personal message/notes
• CAPTCHA
• Unique ID