Kids of Steele Membership Registration
March 2020 - February 2021
We are children, families, and friends united to support the University of Arizona Steele Children’s Research Center in their quest to teach, to heal, and to discover. Together, we work to improve the quality of life for patients by raising funds for pediatric medical research, and through service projects, in an environment that promotes whole family involvement.
For more information, visit
Parent First Name (s)
Children's Names & Ages (please format: Name of Child 1, age; Name of Child 2, age; Name of Child 3, age; etc)
Secondary Email Address (if desired)
City, State, Zipcode
Would you like to connect on Social Media?
If yes, please list your Instagram and Facebook handles.
Kids of Steele T-Shirts will be available for pick up at all Kids of Steele Events. A variety of sizes will be ordered and accesible on a first-come-first-served basis this year. We encourage families to wear their KOS shirts to all of our events. :)
Please select one:
Champions - Annual Contribution of $150
All-Stars - Annual Contribution of $300
Family Superheroes - Annual Contribution of $500
Corporate Superheroes - *Reserved for Businesses/Corporations* - Annual Contribution of $500
Patient Families - *Past or present patient families only, please* - Annual Contribution of $25
Friends of Steele - *For grandparents or supporters without young children who believe in our mission! - Annual Contribution of $75
OPTIONAL Volunteer Information:
In addition to family service events, I am interested in:
Becoming a Kids of Steele Board Member - Attend monthly meetings, plan and implement activities at KOS service events, help with Mini Golf Event.
Assisting with Service Events - Help w/prep work for an event (ordering & organizing supplies, cutting, stapling, labeling, wrapping...)
Helping to secure new sponsors and/or raffle items for the Annual Mini Golf Event
*All contributions in excess of $25 are tax deductible for Patient Families, Friends of Steele, Champions and All-stars. Contributions in excess of $45 are tax deductible for Superheroes
*The University of Arizona Foundation will appear as the vendor on your credit card statement.
*After clicking "SUBMIT" below, you will be directed to the UA Foundation Payment Portal to pay your March 2020 - February 2021 Kids of Steele Membership Dues. Thank you!
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service