Strike 3 Foundation

Grant Requests

Please fill out the following information.

We fully respect your privacy. Your contact information will only be used for communication purposes and will not be made available to other organizations.

Personal Information

1. First Name
2. Last Name
3. Street Address
4. City
5. State Select Month Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
6. DOB of Birth Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
7. Zip Code
8. Phone Number
9. Email Address

Mission Statement

The Strike 3 Foundation heightens awareness, mobilizes support, and raises funding for childhood cancer research.

How you can help

Donate Now — Strike Out Childhood Cancer

Contact Us

Strike 3 Foundation
PO Box 191
Monroe, CT 06468

(203) 724-1067