Foster Care Services Registration of Interest

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Teenager Registration of Interest

This form is CONFIDENTIAL. We will not release this information to any third party without your prior consent.

Name:	D.O.B.:	Gender:
Name:	D.O.B.:	Gender:
Telephone (optional) -	Day:	Eve:
E-mail*:
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)?

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 65 Higher Hillgate, Stockport, Cheshire, SK1 3HD
Company reg. no. 5448746 registered in England and Wales