Teen Tree Donation Form


Select a level of support*

Leaf $250
Bird House $500
Tree $1000

Name to put on plaque : 

Name as you would like it to appear on the plaque (e.g. The Smith Family or John Smith)

Donor Information

First Name : 
Last Name : 
Address : 
City, State Zip : 
Home Phone # : 
Cell Phone # : 
Email : 

Payment Information

This information is transmitted over a secure connection.

Card Type : 
 AmEx  Visa  MasterCard  Discover
Name on Card : 
Credit Card # : 
Expiration : 



The MJCCA’s Inclusion Program strives to provide the necessary accommodations and flexibility for youth who require additional support so they may access the transformative opportunities available at the MJCCA. Our Inclusion Team collaborates with parents, educators, and staff to determine if successful program placement is possible. These youth and their families are then supported by our Inclusion Team through program accommodations and may also receive individualized assistance. Click here for more information.