Sponsor Form - Worcester County GOLD 2019 Helping Hands for the Holidays
Deadline for sponsors to sign-up is Wednesday, December 11th, 2019.
Sponsor's Name *
Your answer
Name of Sponsoring Business or Organization
Your answer
Sponsor's Mailing STREET Address (complete city, state, & zip in fields below) *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Sponsor's Phone Number *
Your answer
Email *
Your answer
How many CHILDREN would you like to sponsor? Please include number of families. *
Your answer
How many VULNERABLE ADULTS (Seniors and/or Adults with Disabilities) would you like to sponsor? *
Your answer
Please indicate if you have any preferences regarding the child(ren) or vulnerable adult(s) you sponsor, including geographical area.
Your answer
Delivery Options: *
Additional Comments or Questions:
Your answer
Questions? Call 410-677-6830
Submit
Never submit passwords through Google Forms.
This form was created inside of Maryland.gov. Report Abuse