Your first name:
Your last name:
Email address:
Phone number:
Number in your group:
For example:
   · Leave '1' for just yourself.
   · Type '2' for yourself and significant other.
   · Type '5' for yourself and 4 friends.
Name of company or group (if you are participating as part of a company or group):
Number of children to sponsor:
How many children does your group wish to sponsor, based on an average of $150-$200 per child?
Are there any special requests you wish to make Caring for Children aware of?

You will receive an email confirmation when your submission is complete. If you do not receive an email, please contact John Iovieno at
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