Adoption - Application Form

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Children And Family Care

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Adoption - Application Form

Please fill in this online adoption form if you live in the Midlands or South Yorkshire areas or if you live outside the Midlands and South Yorkshire areas but you have been approved to adopt/foster by any council or agency.

We are very interested in people adopting children from all backgrounds, including babies and toddlers.

We also need adoptive parents for the following groups of children:

children over the age of five
sibling groups of two or more
children from ethnic minority or inter-racial backgrounds of all ages
disabled children of all ages

Adoption Application Form

Fields marked with '*' are required fields.

Title	*
Surname	*
First name(s)	*
Address	*
Post code
Telephone number (daytime)	*
Telephone number (evening)
Best time to call
E-mail address
Ethnic origin	*
If 'Other' please specify
Do you want to adopt:	*
Do you want to adopt children:	*
Any other details

Data Protection: This form is not secure. Please don't include any confidential or sensitive information on it. We will treat any other personal information you provide in confidence and under the Data Protection Act 1998. We will hold it and only use it for a legal reason or for the purpose it is given. We will only share information when we have your consent or we need to ask another department or partner to respond to a specific comment or request you have made.

We will keep a record of the sender's Internet Protocol address (which is unique to the sender's computer), the date we received the form, and the content for back-up and archive purposes. We will also use this record to identify senders of any malicious content under the Protection from Harassment Act 1997. We will keep this record for a maximum of three months.

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