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Child Sponsorship Application Form

Name _________________________________ ID no (if known) _______

Address _____________________________________________________________
___________________________________________ Postcode _________________

Email ________________________________________ Tel ____________________

I/We agree to pay £________ a month to sponsor ________ child(ren)/project(s).

If you wish to sponsor a child as a group, please give the name and address of the group

leader at the top of this form (this will be the person co-ordinating the sponsorship, with

whom we will be in contact).

I/We would like my/our sponsorship to be for:

Belarus	o	Disabled young person
Moldova	o	Disabled child
	o	Vulnerable child/family
Russia	o	Vulnerable child/family
Ukraine	o	Orphan
	o	Vulnerable child/family
Abandoned babies	o

In order to sponsor a child or project you will need to fill out a standing order form which
you will find on the Child Sponsorship page.

Signed_________________________________________    Date ______________________

If you are a UK taxpayer and are willing forus to reclaim tax from the Inland Revenue
under the Gift Aid scheme, please tick box and sign the declaration below.

^o   I am a UK taxpayer and I would like ChildAid to treat all donations I have
made as well as any future donations as Gift Aid until I notify them otherwise.
I understand that I must have paid an amount of tax or capital gains tax at least
equal to the amount of tax that ChildAid will claim in the tax year

Signed ____________________________________  Date _____________________

To keep you up-to-date with the work of ChildAid, we will add your name to our bi-monthly
newsletter mailing list (if you are not already on it).
If you do not wish to receive this newsletter please tick here   o

Thank you for your support - please send this form to:

ChildAid , PO Box 200, Bromley, Kent, BR1 1QF
Tel: 020 8460 6046    Fax: 020 8466 1244   Email info@childaidrr.org.uk
Registered Charity No 281099