UOCC Child Sponsorship Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Ugandan Orphan Childcare Ministries

P.O. Box 2835
Universal City, TX 78148
United States

www.uoccusa.org
+011-1-210-219-4929
+011-1-210-535-5666
*Partners with Ugandan Orphan Child Care Ministries - Uganda

Please fill in all the requested information and we will contact you to match you with a child to sponsor and answer any questions you may have.

Email *

Full Name *

Street Address *

City *

State *

Zip *

Country *

Phone Number: *

Pledge/Sponsorship Information:

I (we) would like to sponsor a child at this monthly level: *

Basic Support - One child at $35.00 per month

Basic Support - Two children at $70.00 per month

Basic Support - Three children at $105.00 per month

School Support - One child at $35.00 per month

School Support - Two children at $70.00 per month

School Support - Three children at $105.00 per month

Full Support - One Child at $70 per month

Full Support - Two Children at $140 per month

Full Support - Three Children at $210 per month

Other:

Required

Other amount towards monthly child sponsorship. Enter amount below.

I (we) would like to pledge monthly for other expenses at this level (enter amount):

Medical Fund: $25

Medical Fund: $50

Clear selection

General - where most needed. Enter amount of support and designation if different than those listed in the other entries.

Child #1 - We would like to sponsor a child around the age listed below. If no preference, just put ANY. *

Child #2 - We would like to sponsor a child around the age listed below. If no preference, just put ANY.

Child #3 - We would like to sponsor a child around the age listed below. If no preference, just put ANY.

Please share any additional information or comments below. Make sure information has been filled in for all previous areas before submitting the form at the end. *

Donation information:

Recurring Donations can be set up via the website at this page: https://www.uoccusa.org/sponsor-a-child OR

Use this DIRECT LINK to set up your sponsorship payment: https://tinyurl.com/UOCCSponsorshipDonation

Donations can also be made out to and mailed to:

Ugandan Orphan Childcare Ministries
P.O. Box 2835
Universal City, TX 78148
United States

Thank you for your sponsorship!

Although our hope is that you will develop a long term relationship with your sponsored child, the option to begin, renew, or end sponsorship is available at any time.

Ugandan Orphan Childcare Ministries is a 501c3 tax exempt organization relying on private support to fulfill our mission. FEIN 81-1284761

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms