Online Sponsorship

Online Sponsorship - Haiti
To begin sponsoring a child, please fill out the following form. Further details regarding the program and your sponsored child will be mailed to the address you provide.
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
I would like to sponsor

1 Child 2 Children More than 2 Children
Please enter your phone number so that we may contact you regarding your sponsorship preferences *
I prefer to sponsor a

Boy Girl No Preference
I prefer to sponsor

Boys Girls Both No Preference
If you would like to specifically choose one of the children on this page, please list their ID number here. If you do not specify one, we will choose for you.
ex: H001
If you would like to specifically choose from the children on this page, please list their ID numbers here. If you do not specify, we will choose for you.
ex: H001, H002
Enter the message as it's shown *
Should be Empty:

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Online Sponsorship - Haiti