Team Walk with Us!

The Board of Directors and the staff of BRCIC are dedicated to the work of BRCIC in providing support services and training for members of the Baton Rouge community and beyond. The funds raised through this walk will help aid in the continuation of these important efforts. Thank you for your support!

Donation Form

Please fill out the form below to provide us with the information we need to acknowledge your gift; then click on the “Submit & Proceed to Payment Page” button to complete your donation at our secure Payment Page. You will receive a receipt confirming your payment at the email address you provide.

Donated by:
Your Name:

Please include the full name(s) of the donor(s) including title, etc. so we can address a thank you letter properly.
For example, enter ’Dr. & Mrs. John Q. Smith‘ or ’President Anna Jones‘

Phone:


If you wish to donate in memory of someone, you may add that information below:
Circle of Support Donation in support of Team Walk with Us!


Enter the letters in the image above (all caps):