Kicker Donation Campaign

Please fill out the following form to set up your kicker donation campaign to be shared with friends and family. This is a joint campaign between you and your community kicker partner. Donations will be combined into a joint campaign between primary kicker and community kicker partner.

Dancer First and Last Name

Community Kicker Partner Names

Dancer email address

This will be used to notify you when your donation form goes live

Raising Funds for Kick-A-Thon. This is a joint campaign effort between you and your community kicker partner. Enter campaign information in the following form field..

Please enter your campaign information directly in this form, Replacing all of this instruction text. This form should include information from your partner community kicker as well.  Remove all of the example text and replace with your personal information. Please leave the PayPal information in your form.

Examples of personal Information you should include in your personal campaign:
  Paragraph 1: Who you are (school, grade, activities, etc)
  Paragraph 2: Who is your community kicker partner and a few word to describe their relationship to you. 
  Paragraph 3: Why you are passionate about Kick-A-Thon and raising funds for cancer charities.
  Paragraph 4: Why others should also support Kick-A-Thon

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Paypal Processing Fees
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Donations made online require use of a credit card. Kick-A-Thon is assessed a fee for processing of credit card donations per transaction. Consequently, the amount of the fee will be deducted from your donation. To avoid any bank fee, you may make your donation by check (Choose Offlne payment and check made to Kick-A-Thon) in person to the kicker you are sponsoring or by mail to: Kick-A-Thon, P.O. Box 3563, St. Charles, IL 60174. If you want to contribute enough to cover your intended donation amount plus the credit card fee, use this calculator. 
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Please provide a couple paragraphs describing why you want to support Kick-A-Thon. This will be posted directly on your donation form for others to see and help them want to support you.

Fundraising Goal

Your goal is to raise at least $200 per person kicking

Your Profile Image

Please upload an image of you and your community kick partner. Photo collage apps work well, or a collaborative selfie with you and your kick partner. Only one photo can be uploaded, so please create your personal collage with your kicker partner, and upload the one collective photo. Must be minimum 600x600 pixels. File formats that work well are gif, jpg, jpeg, png.. Iphone or Android camera selfies / collage work well..or upload a file directly from your PC..