GODPARENT FORM

The total cost for one year is CHF430 *
First name: *
Last name: *
Street and apartment number: *
City: *
ZIP Code: *
State/Country: *
Telephone number:
E-mail: *
Do you wish to support this child for the whole year?	Yes No
Do you wish, for the gender of the child? If yes, what gender should be your godchild?