Adoption and Foster Care Interest Form Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Are you married? Yes No Do You Attend Refuge? * Yes No Sometimes Please indicate any and all that apply to you at this time: * Educate: Learn about OC’s foster youth and how you can make a difference Pray: Pray, Share & Support the needs of foster youth and families Volunteer: Give of your time to help vulnerable children and families Mentor: Build a relationship with a foster child and change a life forever Host: Temporarily provide a safe and loving home to a child Foster: Provide love and support to kids in the foster system Adopt: Welcome a child into your family, whether inter-country, domestic, private or foster adoption. Thank you!