UnityPoint Clinic - Express (Jordan Creek)

180 Jordan Creek Parkway, Suite 120
West Des Moines, Iowa 50266

03 Patients
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UnityPoint Clinic - Express (Waukee)

950 E. Hickman Road
Waukee, Iowa 50263

00 Patients
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Urgent Care - Altoona

2720 8th St. SW
Altoona, Iowa 50009

02 Patients
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Urgent Care - Ankeny

3625 N. Ankeny Blvd.
Suite E
Ankeny, Iowa 50023

01 Patients
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Urgent Care - Ingersoll

2103 Ingersoll Ave., Ste. 2
Des Moines, Iowa 50312

03 Patients
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Urgent Care - Lakeview

6000 University Avenue
Suite 101
West Des Moines, Iowa 50266

05 Patients
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Urgent Care - Merle Hay

4020 Merle Hay Road
Suite 100
Des Moines, Iowa 50310

01 Patients
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Urgent Care - Southglen

6520 SE 14th St.
Des Moines, Iowa 50320

06 Patients
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Urgent Care - Urbandale

5200 NW 100th Street
Urbandale, Iowa 50322

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Shining Stars FUNdraiser Event Form

Thank you for being a Shining Star and planning a FUNdraiser for Blank Children's Hospital. Please complete the form below to let us know about your fundraising activity or event so we can help make it even more successful...and FUN!

FUNdraiser Event Form

Fundraiser Contact Name:* Please check below for the Fundraiser Contact:18 or older
17 or youngerIf 17 or younger, please complete the info below:Name of parent/guardian, teacher or youth activities director:Name of school or organization (if applicable):Email address:Phone number:Home
Cell
OrganizationAddress:Home
OrganizationFundraiser/Event Name:Date:Time:Fundraiser/Event Description:Inspiration for Giving to Blank Children's:Where would you like the funds raised to go? (Certain program, service or department at Blank Children's)Do you have any questions or need additional information?Click submit below when finished. Thank you!

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UnityPoint Clinic - Express (Jordan Creek)

UnityPoint Clinic - Express (Waukee)

Urgent Care - Altoona

Urgent Care - Ankeny

Urgent Care - Ingersoll

Urgent Care - Lakeview

Urgent Care - Merle Hay

Urgent Care - Southglen

Urgent Care - Urbandale

Shining Stars FUNdraiser Event Form

FUNdraiser Event Form