Donation & Matching Campaign To help with the Annual Matching Campaign, please complete the donation pledge form below and send your check payable to The Children’s Center at Caltech by December 20, 2019. This year’s auction items are as follows: Donation PledgeInstructions Purchases from the classroom wishlist on Amazon will be counted toward your donation (and toward the shirt!) A gift of $35 or higher gets you the C3 CCC t-shirt in high-quality silkscreened cotton. (additional shirts are $25) A gift of $75 or higher gets you a set of 6 animal juice glasses A gift of $125 or higher gets you a shirt, and an engraved leaf for the CCC Giving Tree A gift of $175 or higher gets you a shirt and an endowed child's chair (engraved) A gift of $250 or higher gets you a shirt and a CCC picnic blanket A gift of $325 or higher gets you a shirt, and a CCC Growing Stone (engraved) I commit the amount of *First Name *Last Name *Phone Email *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryAffiliation *ParentAlumniFriends of CCCCommunityPlease choose a t-shirt size: *12 months18 months2T3T4T5T6TPlease choose a beaker logo: BunnyDolphinPenguinKoalaRaccoonBeaversFor engraving, please complete the appropriate field(s) below. Name for the leaf: Name for the chair: Name for the stone: Payment Method *I will forward a check payable to The Children's Center at Caltech and send to 1200 E. California Blvd. MC 1-133, Pasadena, CA 91125 VerificationPlease enter any two digits to confirm you are not a spammer *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: