NMD Sponsor's Registration Form

Sponsor's Registration Form

Submit separate forms for each candidate you are sponsoring
Candidate' Name

First NameLast Name
Sponsor's Name

First NameLast Name
Sponsor's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Sponsor's Phone Number
Format: (000) 000-0000.
Type
Sponsor's E-mail
example@example.com
What are your reasons for recommending this candidate?
To your knowledge, does this candidate have any physical or emotional needs that would affect participation on a DeColores weekend of which we should be aware?
If yes, please explain
Which qualities best describe your candidate? Check all that apply
I have read the Sponsor's Duties & Responsibilities form. I am familiar with the qualifications and responsibilities of a sponsor and I am prepared to accept these obligations. I will pay below by credit card OR mail a check for the $15 fee to:

DeColores Registration

3573 Dock Rd

Williamsburg, MI 49690
Date

MonthDayYear
Date

Sponsor's Fee for Candidate:

Includes $1 service fee to cover payment costs.

$16.00 Quantity