Application for Sponsorship

If you are interested in being a sponsor, please provide us with the following information:

Are you personally related to one of the victims or are there any other reasons for your interest in the sponsorship of a particular person?
YesNo

It is noted that there is no cost for sponsorship. This form serves to share your interest, the information that you provide us with allows us to administer the sponsorship, it will not be published nor shared with third parties. By signing, you agree that it is permissible for us to contact you. You can revoke this at any time.
I Accept