Project Child Smiles
http://www.projectchildsmiles.org/
Artist
Name ________________
Date_____________________
The following information will
be shared with the following parties Project Child Smiles and the
child’s family ALL information exchanged unless otherwise noted.
All information 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
Band
Name if different form above:
___________________
DOB: for birthday reasons!
_____________________
Address and CSZ:
________________________(if not wanted
shared Initial )_____
Email Address:
_____________________________
Phone number:
_________________________(if not wanted
shared Initial )_____
Websites/and myspace URL - _____________________________
Messenger ID's (if any) _______________________________
We thank you as the artist for participating in the Project Child
Smiles~
Artist unites to help bring a smile to a child. 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
Artist requirements of this program:
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.
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.
If
the artist makes media promotions for P.C.S. ---- you give P.C.S.
Permission to submit to stations and other promotional resources.
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.
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.
If
you are in the their area, make time to visit and give them the
opportunity to spend some time with you (parent permitting)
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.
Any party of Project Child Smiles, the artist or the family can
terminate the project interaction at any time.
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 your support on this project. Have fun and let us know
how it is going from time to time. Signing this agreement whether
written or typed you agree to the above terms.
Artist
Signature:___________________________
Sincerely
Mary Meadows Founder
Sherri Dorough Co
Founder
Project Child Smiles Inc.
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