Activity Registration

The Children’s Organ Transplant Association is very grateful that you are planning a COTA Saturday activity. Please complete this form and click send so COTA can add your activity to the list of COTA Saturday 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 COTA Saturday Plans 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: *
How did you learn about COTA Saturday?: *
Do you know what to do with funds after your activity?: *
Are you aware of the COTA resources available to you?: *

Making Miracles:

“We didn’t even know it was possible to perform a heart transplant on a newborn infant. Once we knew Witt needed a new heart we were filled with doubt that we would ever be able to take him home and see him grow up. We knew we needed a miracle. With COTA’s help we were able to experience a true miracle -- a family giving our son new life.”

COTA MIRACLE MAKERS

COTA

GIVE HOPE

MAKE A MIRACLE

Activity Registration

Your COTA Saturday Plans

Making Miracles:

Norm and Alison Deane, Parents of Witt