Date Name
Home Address
City State Zip
Home Phone Cell Phone
E-mail Address
Date of Birth JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 01020304050607080910111213141516171819202122232425262728293031 (year)
Name of mentor you will be praying for:
Prayer Partner qualifications to consider:
I meet the Prayer Partner qualifications.
VOLUNTEER PLEDGE
I understand that, as a prayer partner in the KID'S HOPE USA program, all information that is shared with me in regard to prayer should be held confidentially. I also understand that prayer is vital to the success of this ministry and pledge to be a faithful prayer partner.
I have read and agree to the Prayer Partner Volunteer Pledge.