Apply for your Giving Circle

Use the form below to submit your request to start a Giving Circle. Click here to print and return the form by email, mail or fax.

Giving Circle Application

Basic Information
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Event Details
Please provide any additional details about your event or project below:
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Event Proceeds Information
Must be completed for Giving Circle approval.
All funds collected should be delivered to Baptist Health Foundation once the event is completed. For questions, please contact Alex Burney at 904.202.1442 or by email at Alexandra.Burney@bmcjax.com or wolfsonchildrens@bmcjax.com.
Submission
Please provide the required information in the fields below to signify your electronic signature for this application.
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If you wish to print the application and submit via fax, email or mail, click on the link at the top of the page.

Baptist Health Foundation | 841 Prudential Drive, Suite 1300 | Jacksonville, FL 32207 | 904.202.2919
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