Field Star Participation Form
Thanks for your interest in participating in the Kindness Campaign as a Field Star! This form is for adults and children who plan to complete the community based kindness activities throughout the year. 2020 will be a year of showing and celebrating kindness. We will spread kindness like confetti!
Field Star's First Name
Field Star's Last Name
Field Star's Birthday
How will you participate as a Field Star?
As an individual
As a member of a group/organization
Parent Guardian Name
* if the Field Star participant is a minor, please provide the name of a parent/guardian
City, State Zip
We do not want the cost to participate to be an obstacle to join the campaign. Please, let us know if you need financial assistance to pay for your shirt and subsequent badges.
Yes. I would appreciate financial assistance.
No. I do not need financial assistance to participate.
I would like to donate so that others are able to participate in the Kindness Campaign.
I would like to donate directly to the UVA Children's Hospital.
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