Printed Name
Address
City/State/Zip
E-mail Address
Home Phone
Work Phone
Date
Child Rescue Centre
Sponsor a Child Program
I would like to sponsor a child of the Child Rescue Centre.
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Note
:
Filling out this form is for information purposes only, stating your intentions. You must return to the previous page to continue the donation process.
Girl
Boy
Either
$25 Monthly
$75 Quarterly
$300 Annually
Sponsorship By Check
Sponsorship By Credit Card
