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