Donation Form

Waggoner Foundation
Donation Form

The Jerry C. Waggoner Medical Foundation (JCWMF) is a non-profit foundation created in 1991 in honor of the late Jerry C. Waggoner, founding father of the Hutchinson County Hospital District. The Foundation's charitable purpose is to promote, sponsor and carry out health education and health service activities and objectives of the Hutchinson County Hospital District.

The Tree of Life represents an enduring way for donors to remember special people or events through charitable donations to the Foundation. Donations are recognized by engraved brass leaves or rocks placed around the Tree of Life.

The Jerry C. Waggoner Medical Foundation Tree of Life

 

 

IMPORTANT!

Attention!

YOU MUST FILL OUT THE FORM BELOW COMPLETELY BEFORE YOU WILL BE TAKEN TO THE DONATION PAGE. IF THIS PAGE IS NOT FILLED OUT IN ITS ENTIRETY THEN WE WILL NOT HAVE THE INFORMATION WE NEED TO ADD TO YOUR LEAF OR ROCK.