(First)
(Middle)(Last)
(Middle)(Last)(Street)(City)(State) (Zip)
(City)(State) (Zip)(Parent, Guardian, Business Sponsor, Other. Please Indicate.)(Street)(City)(State) (Zip)
(City)(State) (Zip)Cinderella's Princess Family/Guardian Information:
(First)(Middle)(Last)
(Middle)(Last)(First)(Middle)(Last)
(Middle)(Last)(First)(Middle)(Last)
(Middle)(Last)NOTE: Please print legibly, and print all above information as you would like it to appear in our records, in the media announcements, and in The Cinderella Ball Program.
NOMINATION DEADLINE: Ten young women will be selected as 2008 Cinderella’s Princesses. Nominations will be accepted until May 31 or until all princesses are selected. Those who have been nominated, whose nomination fee has been remitted, and who meet the Princess Program criteria, will be selected on a first-come, first-selected basis. Princesses will be notified of their selection on June 3, 2008.
PRINCESS SPONSORSHIP FEE: $500.00 (Tax Deductible Contribution)
Sponsor may select one of the following payment terms:
$250 – June 1, 2008 $250 – July 1, 2008 My payment will be in the form of:
Or you may print and mail this form with appropriate payment to:
Safe Places Business Office
2607 Lehigh Drive
Little Rock, AR 72204
For questions, please contact Angela McGraw.
Phone: 501-351-4206 Fax: 501-375-7233 E-mail: amcgraw@safeplaceslr.org
Safe Places works in the community to help children and families break the cycle of violence and abuse, through counseling, advocacy, support, and education.
In so doing, we affirm the right of every child to safety, protection, and well-being, at home, at school, and in our neighborhoods.
And The 2008 Cinderella's Princess Program
