Gift Sponsorship Form

Gift Sponsorship Application & Commitment Form

By completing this form you are agreeing to sponsor a child on behalf of the gift receiver. With your help we will be able to provide food, shelter, medical care, clothing and an education for your sponsored child. Give the GIFT that lasts! Give HOPE - One child at a time!

PDF Version

*After you have submitted this form, please go to the Donate Now page to make your first sponsorship donation. Please make sure that you complete and submit this form first. Your sponsorship packet will be sent to you approximately 2 weeks after your first donation is received.

GIFT GIVER'S INFORMATION

GIFT RECEIVER'S INFORMATION

FIRST NAME

LAST NAME

ADDRESS

CI TY

STA TE

ZIP CODE

HOME PHONE

MOBILE PHONE

EMA IL

FIRST NAME

LAST NAME

ADDRESS

CI TY

STA TE

ZIP CODE

HOME PHONE

MOBILE PHONE

EMA IL

YES! I wish to remain anonymous to the Gift Receiver.

I WANT TO SPONSOR A

CHOOSE A CHILD TO SPONSOR

CHILD'S NAME (1)

CHILD'S ID #

COMMENT BOX

PLEASE TELL US HOW YOU WOULD LIKE TO MAKE PAYMENTS

MY MONTHLY COMMITMENT WILL BE

IF OTHER AMOUNT, PLEASE TYPE AMOUNT HERE