Kicker Campaign

Please fill out the following form to set up your kicker donation campaign to be shared with friends and family

This will be used to notify you when your donation form goes live
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.
The amount of funds you want to raise ($200 min)
Please upload an image of your face. Must be minimum 600x600 pixels. File formats that work well are gif, jpg, jpeg, png.. Iphone or Android camera selfies work well..or upload directly from your PC..