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?: *

COTA video plays here.

Rebecca Bathon

Giving Hope:

“Hope is not always easy to come by when you have a child who needs an organ transplant. There are sources of hope that bring comfort and strength during these times … and COTA was our source of hope. COTA’s team rallied our friends, family and community together to support and encourage us during every step of Cason’s transplant journey.”

COTA MIRACLE MAKERS

COTA

GIVE HOPE

MAKE A MIRACLE

Be A Miracle Maker

Your Miracle Maker Plan

Giving Hope:

B.G. and Tricia Blakely