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Please print this form and send it along with your contribution to:
Kentucky Partnership for Families and Children
207 Holmes St., First Floor
Frankfort, KY 40601
 
Name
 
Organization or Support Group (if applicable)
 
Street Address
 
City, State, Zip
   
Phone E-mail
____I would like to make a donation to KPFC in the amount of $_____________ to ensure that KPFC is able to continue to provide a voice dedicated to improving services for children in Kentucky with emotional, behavioral, and or/mental health challenges
____My $20 donation for a Mental Health Sensitivity Curriculum is enclosed. ($20 covers shipping and tax).
____I would like to make a $_____________ donation toward KPFC’s Youth Council activities