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How to use this page:

1. Please highlight all the text of the application form. (From the title to the last sentence)

2. On the toolbar of your browser, select edit, then click on copy.

3.Open your word processor. On the toolbar of your word processor, select edit and then click on paste.

4. You can then print the application form and complete it.

5. Please follow the instruction on the Child Sponsoring Information page (the previous page) on how to start sponsoring.
 

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ChildCare Plus Haiti

I am interested in sharing my love with a child who needs me.

Preferences: Boy __ Girl __

Ages: 1 to 9 __ 10 to 18 __

Mr. __ Mrs. __ Ms. __

Name (Please Print) ________________________________

Address __________________________________________

City ______________________ Prov. __________________

Code _____________________Phone __________________

Home Church ______________________________________

All gifts are tax deductible. Make checks payable to ChildCare Plus
 
- Previous: Child Sponsoring Information - Back To: Our Home Page - Next: Opportunities To Help -