SHELTER APPLICATION FOR CUBS FOR KIDS

Please print and mail / fax application to Cubs for Kids (click here for address)

Date _________________________ 

Name of Shelter                                                                                                          

 Address                                                                                                                     

 Telephone Number                                                                                                     

 Name of Contact Person                                                                                              

 Amount of Bear Cubs Needed                                                                                       

 Ages of Children in Shelter                                                                                           

 Number of Children in Shelter                                                                                      

 Brief Description of Shelter                                                                                          

May we use the name of your shelter in any of our promotional material     Yes      No