Children's Hospital of Orange County

Children's Hospital of Orange County (CHOC) and CHOC at Mission are dedicated to providing the highest quality of pediatric healthcare for children in and around Orange County.

With your support, we will "Pave the Way" to a healthier future for our children. Your gift of $500 or more towards an inscribed brick is a great way to honor family, friends and loved ones for a lifetime.

Each brick can be inscribed to commemorate friends, family, schools, a business, or an anniversary.

For more information or to order additional forms, please call 714.532.8690. You can also download an order form.

Inscription Examples

IN HONOR OF
THE SMITH FAMILY
HAPPY BIRTHDAY
JOHNNY
HAPPY B-DAY MOM
WE LOVE YOU
THANK YOU DR. KIM

Brick Information

Please place brick(s) at $500 each.

Engraving Information
Please print exactly as you would like your inscription to appear on your brick. Each brick is allowed a maximum of three lines with 17 characters per line and engravings will be made in all capital letters. One character (letter, number, symbol, or blank) per space, please.

First Brick

Second Brick

Donor Information (* = required)

Title

First Name*

Last Name*

Address*

Address 2

City*

State*

Zip*

Phone*

Email*