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Report A New Placement
Please tell us about the new child in your home. Use a separate form for each child. Please note that at this time we are only able to assist families within roughly 30 miles of Whitehall.
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Email
*
Your email
Name and Phone # of Foster Parent
Your answer
Child's Initials (no full names please)
Your answer
Child's Age
Your answer
Child's Gender
*
Male
Female
Child's Shirt Size
Your answer
Child's Pant Size
Your answer
Child's Shoe Size (Please specify infant, toddler, kid, adult)
Your answer
Special Requests (Winter coat, crib, car seat, etc.)
Your answer
Address to be Delivered to
Your answer
A copy of your responses will be emailed to the address you provided.
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