Create a Fundraiser

Complete the form below to tell us about your fundraising idea. Once we've reviewed your application, a member of our team will reach out with next steps and help you bring your fundraiser to life.

Indicates required field

Title

First Name ^*

Last Name ^*

Street Address

City/Town

State

ZIP Code

Phone

Email ^*

Organization Name

Job Title/Role

Are you interested in [required]

Hosting an Event

Hosting a company/organization related fundraiser

Children’s Miracle Network Partnership/Program

Event Name/Fundraising Idea

Description of Event/Idea

Anticipated Event Date

Event End Date (if applicable)

Estimated Participants

Type of Milestone

Celebration Date

Is an in-person celebration being hosted?

Yes

Celebration Venue

Fundraising Goal

Cost to participate

Venue Name

Street Address

City/Town

State

ZIP Code

Is this event open to the public or invitation only?

Open to the public

Invitation Only

Have you formed a committee to help organize the event?

Yes

How will funds be raised?

Who will you solicit?

If conducting a raffle, is there a completed or permit application pending with the State of Connecticut?

Yes

Not conducting a raffle

Estimate of expense

Estimated net donation, after expenses, to Connecticut Children's

Ways to Give

Make a Gift

Leave Your Legacy

Corporate Partnerships

Tribute Gifts

More Ways to Give

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Create a Fundraiser

Ways to Give