In-Kind Donation Form

Thank you for donating goods and services to Walker's Point Youth and Family Center! This form is required for all in-kind (non-monetary goods and services) donations to our organization. It helps us report all the support needed to operate our programs, in addition to financial gifts. By filling out this form, you are helping us demonstrate the full extent of our needs to donors, encouraging others to support us financially or through their own in-kind donations.

By law, we cannot complete this form for you, especially regarding the real or estimated value of your donation. Please fill in the value even if it is your best guess.

Your Contact Information

First Name *

Last Name *

Email *

Address Line 1 *

Address Line 2

Phone *

City *

State *

Zip *

Description of Donation

Please provide a list of individual items or groups of items below. For example, "12 pairs of socks" or "various personal hygiene items." Please be as specific as possible.

Item 1 * The field Item 1 is required.

Item 2 The maximum length for the field Item 2 is 500 characters.

Item 3 The maximum length for the field Item 3 is 500 characters.

Item 4 The maximum length for the field Item 4 is 500 characters.

Item 5 The maximum length for the field Item 5 is 500 characters.

Item 6 The maximum length for the field Item 6 is 500 characters.

Item 7 The maximum length for the field Item 7 is 500 characters.

Item 8 The maximum length for the field Item 8 is 500 characters.

Item 9 The maximum length for the field Item 9 is 500 characters.

Item 10 The maximum length for the field Item 10 is 500 characters.

Value of Donation

Please provide the actual or estimated value of your donation, to the best of your knowledge.

Value * The numeric field Value is required.

Your Electronic Signature

By entering your name below, you agree that your signature is the legal equivalent of your manual/handwritten signature.

Full Name * The field Full Name is required.

Date of Donation * The date field Date of Donation is required.