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Project Child Smiles

http://www.projectchildsmiles.org/

 

Thank you for your interest/confirmation for being a part of Project Child Smiles. We are thrilled that you have allowed us to be in your lives.
To help complete the process of getting and artist/child match we need the following information. Please understand that it is our main goal is
to protect the children.

Instructions:  Copy and paste (or type) sherri@projectchildsmiles.org into the "TO:" field. Type your information in the white blocks (they will stretch)
or the white areas below and  remember to sign (type your legal name) at the end of the form. Type your own e-mail in the "CC"
or "BCC" field so you will be sending a copy of the completed form to yourself also. Send the e-mail :)

 

Artist Name _______________Date_____________________

 

We need the following information that will be shared with 2 other parties

Project Child Smiles and the child’s family) ALL information exchanged

Remains confidential. This is confirmed individually per family and you will be notified. Provide information that you want to be shared with the family and Project Child Smiles

 

Artist Name: 

Band Name if different form above:

DOB (for birthday reasons!)

Address and CSZ: 

Email Address:

Phone number:

Websites/and myspace URL

Messenger ID's (if any) 

Genre:

           

We thank you as the artist for participating in the Project Child Smiles~

where the artists unite to brighten up a child’s day by their heart. In the best interest, we ask that you keep all information confidential and the two parties exchanging information will be you the artist and the family. Here are some common courtesy rules that we request that the artist follow in this delicate but encouraging program. These children are in different stages of this disease.

 

IMPORTANT:

Once matches are complete, it is the responsibility of the parties involved to stay in touch with each other. PCS is not responsible for breaks in communication but will assist in reconnections if communications are lost. Communication must be lost for minimum of 3 month minimum. PCS must be notified in writing if a rematch is requested or additional assistance in contact is needed.

                         ______INITIALS AND DATE

 

Your requirements of this program:

Ø  All information such as addresses and phone number are to be kept confidential. Always protect the interest of the child- NO LAST NAMES to be used and if photographs get permission from the family.

Ø  You represent yourself as an artists and part of PCS. This is going to a special gift for the child that they will remember for a long time.

Ø  If the artist makes media promotions for P.C.S.---- you give P.C.S. Permission to submit to stations and other promotional resources.

Ø  Contact is MANDATORY (4-5 times a month min if not more) (Emails, Myspace comments and email and Snail mail are ok) Keep in touch with child’s status so you know when certain times they need more encouragement through the hard times.  Any party can request rematch if no contact.

Ø  A care package sent to family and child (ask for suggestions) Check with the parents for the appropriate age items. These are mailed from the artist to child. 

Ø  If you are in the their area, make time to visit and give them the opportunity to spend some time with you (parent permitting)

Ø  Build a positive bond with the child and family. Have fun and bring something new to your life and your child. Always show encouragement and support to all.

Ø  Any party of Project Child Smiles, the artist or the family can terminate the project interaction at any time.

Ø  PCS is not responsible for gifts given to the child from their artists. Any donations to PCS are used for all children unless specified for specials reasons upon approval by staff.

We thank you for you support on this project. Have fun and let us know how it is going from time to time.

___________________________                  _____________________________

      Artist Signature                                          Project Smiles Staff