Register an Event - UPMC Children’s Hospital Foundation

Register an Event - Patient Family

Are you interested in hosting an event or creating a personal fundraising page to benefit UPMC Children’s Hospital of Pittsburgh? Please fill out and submit the registration form below. A representative from Children’s Hospital of Pittsburgh Foundation will then contact you within 3 to 5 business days to discuss your fundraising efforts.

If you have any questions, or if you are experiencing issues with this registration form, please contact the Foundation at 412-692-3900 or [email protected].

First Name:

Last Name:

Organization Name

Address:

Cell Phone:

Alternate Phone

Birthdate

I was/am a patient or patient family at Children’s Hospital.

Yes No

Fundraiser Information

Do you plan to make an online fundraising page for your event?

Yes No

(A personal fundraising page can be customized and is a great way to collect donations! To view sample, please click here).

Area of Hospital to Support

If other, please enter here:

Anticipated Date of Your Fundraising Event:

Description of Your Fundraiser:

What is your fundraising (financial) goal?

Can we feature your fundraiser on our website, email, or social media?

Waiver Acknowledgment

Guidelines, Terms and Conditions

I have read the Guidelines, Terms and Conditions.

Yes, I agree to the Guidelines, Terms and Conditions.

Terms of Use

I have read the Terms of Use.

Yes, I agree to the Terms of Use

User Agreement

I have read the User Agreement

Yes, I agree to the terms of the User Agreement.