FAFU Child Sponsorship Form

Adult Sponsor #1
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State Zip
Are there any additional adults in sponsoring household?*
- Yes
- No
If so, how many adults?*
Additional adult members in sponsoring household:
Adult Name #1
First Last
Adult Name #2
First Last
Adult Name #3
First Last
Adult Name #4
First Last
Hidden
Are there any children in sponsoring household?*
- Yes
- No
If so, how many children?*
Children in sponsoring household:
Child Name #1
First Last
Child Name #2
First Last
Child Name #3
First Last
Child Name #4
First Last
Hidden
Recognition Name
I prefer to remain anonymous.
SPONSORSHIP DETAILS:
A one-year commitment with the option to sponsor a new fourth grade student each year.
Number of children sponsored, annual sponsorship @ $360 per child?:*
Hidden
Annual Sponsorship
Price:
FAFU Child Name(s):
Do you have a preferred gender of the child you are interested in sponsoring?
- Male
- Female
- Either
We are unable to commit to maintaining contact with a child, but would like to support the Y’s FAFU Child Sponsorship initiative with a donation of:

Donation Amount
Total
$0.00
Payment Method

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Captcha

New Canaan YMCA