If you are ready to sponsor a child(ren), please complete the application below. If you selected a child(ren) from one of our sponsorship drives, please enter the Child ID # for each child. This number is located in the right bottom corner of your sponsorship card. Otherwise indicate the country and gender and we will do our best to match you with a child of your choice.

After we receive your application, we will match you with a child in need, and you will receive more detailed information on your specific child.

 Name:    

 Email:    

 Phone:   

 Address:

 City:

 State:    Zip:
OPTION 1
I wish to sponsor the child(ren)
with the following Child ID Number(s):


OPTION 2
Please let us know if you prefer to sponsor a:
boy girl no preference

I wish to sponsor a child from :
South Africa India Thailand
Laos No preference


Automatic withdrawal - you can sign up for the automatic withdrawal process and on the 10th of every month, your contribution will be deducted from your bank account. Please include a voided check with your application.

I/we hereby authorize One Life Child Sponsorship Program to initiate entries to my checking/savings account at the financial institution indicated. This authority will remain in effect until One Life Child Sponsorship Program is notified by me/us in writing to cancel it in such a time as to afford One Life Child Sponsorship Program and the financial institution a reasonable opportunity to act on it.

 Bank/Financial Institution:    

 Routing Number:    

 Account Number:   

 
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