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Mission Emanuel Child Sponsorship Form
Sign up to sponsor a child in the Dominican Republic!
Child sponsorship is $40 per month or $480 per year.
For more information on the Child Sponsorship Program, please visit
missionemanuel.org/sponsorship
.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Mailing Address
Where do you prefer to prefer to receive mail?
Street Number and Name
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Sponsor Child Information
We will pair you with a child who is in need of a sponsor and send you their information.
Do you have a preference of age or gender for your sponsor child? (If you already chose a child on a short-term trip, please put their name)
*
Your answer
Payment Information
How would you prefer to donate to Mission Emanuel?
How often would you like to donate for your sponsorship?
*
Monthly ($40)
Yearly ($480)
Other:
How will you be donating for your sponsorship?
*
Check
Credit Card
ACH draft
Charitable Foundation
Submit
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