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Become a Foster Parent
Who We Are
Our Core Values
Our Beliefs
Our Leadership Team
Our Board
Our History
Stories of Hope
Foster Care
Are You Called to be a Foster Parent?
Why Christian Heritage?
A Foster Parent's Journey
Professional Foster Homes
Foster Care Team
Foster Parent Portal
Current Foster Parents
Training Calendar and Forms
Training Resources
Navigating the System
Referral Form
Professional FP Maintenance Request
Notes Of Hope
Beyond Prison
Destination...Dad®
Family Advocacy
Beyond Prison Team
Permission Slips
Families Together
What Is It?
Get Involved
Get Help
Families Together Team
Ways to Help
Pray
Give
Become a Foster Parent
Careers
Locations
Beyond Prison
Destination...Dad®
Family Advocacy
Beyond Prison Team
Permission Slips
Photo/Video Release Form
Your Name (Required)
Parent/Guardian Name (Required)
Street or post office address (Required)
City, State, Zip Code (Required)
Phone number (including area code) (Required)
E-mail address
Please list the names
and
ages of each child attending the event
individually
in the spaces below.
Name of child (Please list each child separately) (Required)
Age of child (Please list each age separately) (Required)
Name of child #2
Age of child #2
Name of child #3
Age of child #3
Name of child #4
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Age of child #4
Name of child #5
Age of child #5
CERTIFICATION AND RELEASE STATEMENT
Are you the legal guardian of child(ren)?
Yes
No
I certify that the information given herein is true and complete and that the submission of this form is the same as my signing this form.
Yes
No
I hereby give permission for images and/or recording of myself and my minor child(ren) listed below, obtained via audio, video, photo, and/or digital camera, to be used soley for the purpose of Christian Heritage's promotional material and publication. I wave any rights of compensation or ownership thereto.
Yes
No
Today's date (Required)
info@chne.org
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