Inquiry Form - GA Division of Family and Children Services

Primary Caregiver Name*

Primary Caregiver First Name Primary Caregiver Last Name

Secondary Caregiver Name

Secondary Caregiver First Name Secondary Caregiver Last Name

Relation to Primary Caregiver

Physical Address*

Street Address Address Line 2 City State ZIP Code

County*

Phone*

Primary Email*

Enter Email Confirm Email

*If you do not have an e-mail address, please contact the Foster Georgia Inquiry Hotline at 1-877-210-KIDS.*

How did you hear about us?*

Child Specific Interest

If you saw a child on Wednesday's Child or It's My Turn Now Georgia, please enter the child(ren)'s name and/or identification number.

How long have you considered Fostering or Adopting?

Please select what best represents your current area of interest:*

Age Range of Interest

Enter the minimum and maximum age range of the child or children you are interested in. For example, 7-15.

Have you fostered or adopted previously?

Phone

This field is for validation purposes and should be left unchanged.