Champions of Childhood - Dedicate

Thank you for your interest in starting a fundraiser for Northwell Health's Champions of Childhood DIY campaign. Please complete the following questions to activate your campaign.

If you have questions about creating your own fundraiser, please fill out the form below or contact Lori Peterson at (516) 321-6332 or [email protected]

Fundraising Page Information

Campaign Title*

Page Link*

Custom page link requirements: only letters, numbers, dashes, or underscores.Your page link: https://www.northwellkids.org/campaign/

Campaign Date*

Show a date for your campaign on your fundraising page.

Fundraising Goal*

Registration Questions

Please select a designation for your funds:*

Date of Birth*

(ex: mm/dd/yyyy)

Are you a Northwell Health Employee?*

For what occasion are you dedicating funds?

What is your connection to our mission?*

How did you hear about us?*

Northwell Website Social Media Northwell Health E-Mail Other