Have a Heart Adoption

Please fill in the questionnaire and select the program you would like to join.
Benefactor’s personal details:
First and last name:
Business name:
Permanent address:
No of house / flat:
Postal code:
Mailing address
(if different than  permanent address) :
No of house / flat:
Postal code:
Telephone number:
Year of birth:
I declare my support for a child participating in the program mentioned below (please tick the relevant checkbox):
Have a Heart Adoption – Primary School
Have a Heart Adoption – Secondary School
Have a Heart Adoption – High School
Have a Heart Adoption – School of Life Skills
Have a Heart Adoption – Disabled Children (Aleppo)
Nourishing program
Please answer the questions below:
Would you be able to communicate with a child in written French?
How did you learn about our programs?
Hereby I agree that 'Maitri' Movement may process my personal data for charity purpose.
Your personal data are secure. Their administrator is the 'Maitri' Movement Association, (80-245 Gdańsk, ul. Ks. Zator-Przytockiego 3). Data are processed only for the purpose of  charity activities run by 'Maitri' Movement and cannot be  shared with third parties. You are allowed to access your personal data and to edit it.