UHCCF Make A Splash Survey - United Healthcare Children's Foundation

Thank you for your interest in helping #UHCCFMakeASplash in celebration of our 30,000^th grant award!
Please complete the following form and watch your mailbox/doorstep for a package of balloons from UHCCF for your #UHCCFMakeASplash video.

UHCCF Make a Splash

Parent or Guardian Email

Parent or Guardian Name

First Last

UHCCF Grant Recipient Name

First Last

Address (No PO Boxes)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Share Your Socials

Drop your social links or handles below so we can follow and share your #UHCCFmakeasplash celebrations.

Instagram

Facebook

Who are some personalities or influencers that you follow on social media that would be good potential partners with UHCCF?

Enter their social handles or links below for us to check out.