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Registration of Interest

This form is CONFIDENTIAL. We will not release this information to any third party without your prior consent. We are particularly keen to hear from people who are interested in looking after teenagers.

Name: D.O.B.: Gender:
Name: D.O.B.: Gender:
Telephone: Day Eve
E-mail*:
Your Address:
Where did you hear about fostering (e.g. from a friend, press ad., leaflet etc.)?
Who are the other members of your household (adults and children)? Please provide names, gender, date of birth & their relationship to you.
Do you have space in your home for another child (e.g. spare bedroom)?
In which age range are you interested?
How would you describe your ethnic background/culture?
Religion (are you practising or nominal)?
Why do you want to foster?

*Please read our privacy policy.

 

© Foster Care Services North West 2005 All rights reserved
Foster Care Services - 65 Higher Hillgate, Stockport, Cheshire, SK1 3HD, 0161 477 0004
Registered office - Wrens Oast, Wrens Road, Borden, Sittingbourne, Kent, ME9 8JE
Company reg. no. 5448746 registered in England and Wales