FAMILY ADOPTION PARTY REGISTRATION FORM

Yes, I/We would like to attend the:

 Home Run for a Child Adoption Party on 9/11/10
   
Your Name:
Name(s) of Other Adults:

Name(s) and Age(s) of Child(ren) Attending:

Mailing Address:

 (Number, Street)
(Apt., Suite, Floor)
(City) (State) (Zip)

Home Phone #:

Email:
 
Ethnicity:
(for demographic purposes only; please check all that apply)




If other, please specify:
 
Where are you in the adoption process?
                              Gathering information
                              Deciding on an agency
                              Enrolled in MAPP with
                              Completing homestudy with
                              Homestudied/Waiting to be matched
                                             Date of Homestudy
                                             Agency
                                             Social Worker
                              Experienced adoptive family seeking to adopt again
 
 Add Me/Us to MARE quarterly newsletter Mailing List: Yes No
If yes, by : Email Hardcopy
Add Me/Us to Adoption Party Mailing List: Yes No (Adoption Parties held in Massachusetts only)
If yes, by : Email Hardcopy
How did you hear about this event?
Additional Questions or Comments:

If you will be bringing children to this event,
you will be asked to sign a form of confirmation of responsibility when you check-in.

 

MARE is partially funded by the Massachusetts Department of Children and Families.
Comments or Questions to: web@mareinc.org - Copyright © 2007 MARE, Inc. All rights reserved.