Contact Info for Adult Person Making Pledge
Contact Information for Another Adult Included in Pledge
Fields below may be left blank if not different from above
Names of Additional Adults Included in Pledge (Other Than Those Above)
Names of Children (under 18) Included in Pledge
Total amount pledged for the one-year period beginning July 1, 2025 (through June 30, 2026)
Optional Info on Racial, Gender, and Sexual Identity
This helps us respond fully to annual UUA surveys that gauge the diversity of our Association. Please check all that apply. Space is made available for responses for up to 4 adults.