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A Family For Every Child
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541-343-2856
877-343-2856 christy@afamilyforeverychild.org

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Tax I.D. 20-4151057
Christy Obie~Barrett
Executive Director
880 Beltline Road
Springfield, OR 97477
fax 541-343-2866

OUR MISSION:
To find loving, permanent families for every waiting foster child.

If you would like to be a Support Family for someone just starting or in the middle of the adoption process, please fill out this form. A representative will contact you and place you in touch with a family in need of your support.

Date:

E-mail Address (REQUIRED)

Applicant #1		Applicant #2
Ph. #		Ph. #
Address
All questions are optional - Information is for internal use only at A Family For Every Child

Did you adopt through DHS?
Whst was your impression of the adoption process?
What is your preferred method of contact?
Tell us about your family. How many live in your home including pets?
Did you adopt a special needs child, older child, different race or siblings?
Are you a single parent, married or partner?
Anything you'd like to add about your family?

Thank you for your interest. We will do our best to match you with a family similar to yours. Should you have any questions, please contact Christy Obie-Barrett at
541-954-9626.