"I am a kid with a dream in need of a sponsor."

Please provide the following contact information:

Child's Name
Age
Address
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail
Web site

           Please describe:

I am a	Boy Girl
Height
Hair Color	Blonde Brown Black Red Gray White
Eye Color	Blue Brown Black Green Gray Violet
Your School Name
What grade are you in?

           Tell us about your dream and about what makes you a role model for others and
         why you should be considered to receive help from the
         "Sponsor a Dream" campaign:
          

          
        Tell us what your needs are (financial, equipment, etc.) that will help you
         achieve your goals:
          

          What dollar amount is the cost of your need: 
          How often is this amount needed? Per day    Per Month   One-time 

           If you have someone who helps you in the activity you described above
           (a coach, teacher, mentor, etc.), please provide the following info:

          Do you have a video, photos or audio tape that you could send us?  Yes No   
          If yes, what?   Video    Picture   Audio tape 
          [PLEASE NOTE:  Photos and/or videos can only be returned if accompanied by a self-
          addressed stamped envelope.]

          Please provide the name of a parent or guardian that we may contact:

How did you hear about "Hang On to the Dream"?
T.V. news
Newspaper
A friend
Saw an episode of the show

PLEASE NOTE:

1) Receiving sponsorship from outside parties may jeopardize ones Amateur status in certain activities. 
It is the responsibility of the applicant to review the rules of their activity before accepting sponsorship from the "Hang On to the Dream Foundation".

2) In order for a child to be considered to receive a sponsor as part of the "Sponsor a Dream" campaign,
some of the information you provided above will have to be made viewable to visitors of this website. 

The only information that will be published to be viewed by visitors to this site is as follows:
The child's first name
Their age
Major city nearest their home town
Their dream and a brief description as to their sponsorship needs

DO NOT SUBMIT THIS FORM IF YOU DO NOT WANT
ANY OF THE INFO DESCRIBED ABOVE TO BE MADE PUBLIC