Dear Friend Program
Online Registration Form
For submitting this form you must be 18 years or older take the responsibility of supervising the registrant child
If you are a student interested in our program, please forward our information to a parent, teacher, or other adult who can supervise you on this project.
Child Details

First Name:
Last Name:
Gender:
Male
Female
Name of School:
Grade Level:
Date of Birth:
Nick Name:
Favorite Color:
Career Aspirations:
Favorite Animal:
Hobbies:
Favorite Game:
Favorite Song:
Profile Picture:
If you do not have a digital picture, would you like to post it through mail?
Yes
No
Would you like to receive an envelope or postage charges covered by Amsha Africa?
Yes
No
Please choose the prefered option:
Kenyan postage: 
U.S. postage: 
Envelope: 

  

Supervising Adult Details

First Name:
Last Name:
Gender:
Male
Female
Street Address or P.O. Box:
City:
State:
Zip:
Continent:
Country:
Phone:
Alternate Phone number:
Email:
Confirm Email:
How did you hear about Dear Friend?
if Other specify
Please confirm that you are atleast 18 years old:
Participation in Dear Friend is free.
If you wish to donate online, please click the Donate Now button below.
To pay via check, money order, or purchase order, please complete the hard copy Dear Friend registration form, enclose
it with your payment, and mail these to the Amsha Africa Foundation, P.O. Box 798043, Dallas, TX 75379.
Click here to print out a copy of our hard copy registration form.