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Legacy Intention Form

Thank you for including Children's Healthcare of Atlanta in your estate plans. Knowing your intentions helps us plan for the future, as we continue to provide access to specialized pediatric care to children in Georgia for generations to come. We understand your gift is revocable and you may change your plans at any time.

Personal Information

Legacy Gift Information

I/We have included Children's Healthcare of Atlanta as a beneficiary of my/our:

Gift Amount

OR
%,

(Please provide your best estimate of the value of your future gift, based on the approximate current value of your assets.)

Additional Information

Gift Designation

Recognition

(Most listings are First and Last Name(s) only. For example, Jane Smith or Jane and Michael Smith.)

Signatures



For more information:
Visit choa.planmylegacy.org | Email legacygiving@choa.org | Call 404-785-4483

Contact information:
Children's Healthcare of Atlanta Foundation
1575 Northeast Expressway, Atlanta, GA 30329

Legal Name: Children's Healthcare of Atlanta Foundation
Tax I.D. Number: #58-1710601
©2025 Children's Healthcare of Atlanta Inc. All rights reserved. FND 1193400.es.8/25

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