Be A Miracle Maker

The Children’s Organ Transplant Association is very grateful that you are planning a COTA Miracle Maker activity. Please complete this form so COTA can add your activity to the list of COTA Miracle Maker events being planned across the country.

Thank you for Giving Hope and Making Miracles!

*Required Information

First Name: *
Last Name: *
Organization or Company Name: *
Number of members/employees: *
Your Position:
Address: *
City: *
State: *
Zip Code: *
Email: *
Phone: *
Your Miracle Maker Plan Do you plan to: *: Raise funds for COTA through a community activity
Raise funds for COTA Families through a community activity
Make a donation to COTA
Raise awareness of the need for organ and tissue donors
Volunteer to help a COTA campaign
Recruit others to help COTA
Date of Activity: *
Location of Activity: *
Description of Activity: *
Number of people you expect to attend your activity: *
Cost for participants: *
Number of volunteers you will need: *
Number of donors you would like to add to donor list(s): *
Media coverage planned: *
Amount you plan to raise: *
Do you know what to do with funds after your activity?: *
Are you aware of the COTA resources available to you?: *

Giving Hope:

“COTA gave us hope by making it easier for us to deal with the entire transplant process. We were so worried about Emilee’s health that the last thing we wanted to worry about was money. It was simply amazing that once COTA came to our hometown and trained the team of volunteers, the fundraising goal was quickly reached. That gave us hope that Emilee would be able to receive her new lungs, and we would be able to survive it all financially.”

COTA MIRACLE MAKERS

COTA

GIVE HOPE

MAKE A MIRACLE

Be A Miracle Maker

Your Miracle Maker Plan

Giving Hope:

Andrea Pearon, Mother of Emilee