Make a gift to support Dell Children's Medical Center Your donation here, as part of the Colt McCoy Performance Camp, supports Dell Children’s Medical Center’s ability to ensure no child goes without the life-saving care they need. With 70% of patients under- or uninsured, your support allows Dell Children’s to continue to provide specialty care to all children regardless of ability to pay. All gifts made here will go toward the area of greatest need, determined annually by leadership, which allows Dell Children’s the ability to affect our youngest patients and their families in the most meaningful way. Use this form to make additional gifts to support the event. Please note that registration for the Performance Camp itself is separate and can be completed here. Gift Information Field Is Required Enter A Gift Amount: $25.00 $50.00 $100.00 $500.00 $1,000.00 Other Enter amount Donor Information Title: Mr. Ms. Mrs. Miss Dr. Required First Name: Last Name: Suffix: Sr. Jr. II III IV V Required Street 1: Street 2: City: State/Province: AK - Alaska AL - Alabama AR - Arkansas AZ - Arizona CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia HI - Hawaii IA - Iowa ID - Idaho IL - Illinois IN - Indiana KS - Kansas KY - Kentucky LA - Louisiana MA - Massachusetts MD - Maryland ME - Maine MI - Michigan MN - Minnesota MO - Missouri MS - Mississippi MT - Montana NC - North Carolina ND - North Dakota NE - Nebraska NH - New Hampshire NJ - New Jersey NM - New Mexico NV - Nevada NY - New York OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VA - Virginia VT - Vermont WA - Washington WI - Wisconsin WV - West Virginia WY - Wyoming AS - American Samoa FM - Federated States of Micronesia GU - Guam MH - Marshall Islands MP - Northern Mariana Islands PR - Puerto Rico PW - Palau VI - Virgin Islands AA - Armed Forces Americas AE - Armed Forces AP - Armed Forces Pacific AB - Alberta BC - British Columbia MB - Manitoba NB - New Brunswick NL - Newfoundland and Labrador NS - Nova Scotia NT - Northwest Territories NU - Nunavut ON - Ontario PE - Prince Edward Island QC - Quebec SK - Saskatchewan YT - Yukon None Required ZIP/Postal Code: Email Address: Yes, I would like to receive communication from this organization. Honoree Information Yes, this is an honor or memorial gift Honor Gift Type: In Memory of In Honor of Required Honoree Title: Mr. Ms. Mrs. Miss Dr. Required Honoree Name: Message Body: Notification Recipient Title: Mr. Ms. Mrs. Miss Dr. Required Notification Recipient Name: Notification Recipient Street 1: Notification Recipient Street 2: Notification Recipient City: Notification Recipient State/Province: AK - Alaska AL - Alabama AR - Arkansas AZ - Arizona CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia HI - Hawaii IA - Iowa ID - Idaho IL - Illinois IN - Indiana KS - Kansas KY - Kentucky LA - Louisiana MA - Massachusetts MD - Maryland ME - Maine MI - Michigan MN - Minnesota MO - Missouri MS - Mississippi MT - Montana NC - North Carolina ND - North Dakota NE - Nebraska NH - New Hampshire NJ - New Jersey NM - New Mexico NV - Nevada NY - New York OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VA - Virginia VT - Vermont WA - Washington WI - Wisconsin WV - West Virginia WY - Wyoming AS - American Samoa FM - Federated States of Micronesia GU - Guam MH - Marshall Islands MP - Northern Mariana Islands PR - Puerto Rico PW - Palau VI - Virgin Islands AA - Armed Forces Americas AE - Armed Forces AP - Armed Forces Pacific AB - Alberta BC - British Columbia MB - Manitoba NB - New Brunswick NL - Newfoundland and Labrador NS - Nova Scotia NT - Northwest Territories NU - Nunavut ON - Ontario PE - Prince Edward Island QC - Quebec SK - Saskatchewan YT - Yukon None Required Notification Recipient ZIP/Postal Code: Yes, include the gift amount in the message. Process Cancel