Disclaimer: If the GoTeam has already visited a sponsor child for you or your family on a previous trip, PLEASE DO NOT APPLY. This application is for sponsors who have NOT had any child visited before. Only sponsor children living in the Sinazongwe ADP will be considered.

Fill out the application form below if you would like to be included in the random drawing for the 2011 GoTeam to visit your World Vision Sponsor Child in Zambia.

One application per family.

Fields with an asterisk* are required.

First Name	*
Last Name	*
Address	*
City	*
State	*
Zip Code	*
Email Address	*
Phone	*
Name of Sponsor Child (if known)
Only one application may be submitted per family, please.
Child ID/Country and ADP #	*	ZAM 172185 ZAM 190705
Four Digit Child ID #	*
The GoTeam will only be able to visit World Vision Sponsor Children from the Sinazongwe ADP, which is coded as #172185 & #190705.
Please fill in the following numbers and letters in the field below. This is an added internet security measure.
Security Code	*