Inquiry Form

Primary Name *

First

Last

Secondary Name

First

Last

Relation to Primary CaregiverRelation to Primary CaregiverSpouseDomestic PartnerSignificant OtherParent/In-LawAdult Household MemberAdult Child

Address *

Address Line 1

Address Line 2

City

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Zip Code

County *CountyApplingAtkinsonBaconBakerBaldwinBanksBarrow CountyBartow CountyBen Hill CountyBerrien CountyBibb CountyBleckley CountyBrantley CountyBrooks CountyBryan CountyBulloch CountyBurke CountyButts CountyCalhoun CountyCamden CountyCandler CountyCarroll CountyCatoosa CountyCharlton CountyChatham CountyChattahoochee CountyChattooga CountyCherokee CountyClarke CountyClay CountyClayton CountyClinch CountyCobb CountyCoffee CountyColquitt CountyColumbia CountyCook CountyCoweta CountyCrawford CountyCrisp CountyDade CountyDawson CountyDecatur CountyDeKalb CountyDodge CountyDooly CountyDougherty CountyDouglas CountyEarly CountyEchols CountyEffingham CountyElbert CountyEmanuel CountyEvans CountyFannin CountyFayette CountyFloyd CountyForsyth CountyFranklin CountyFulton CountyGilmer CountyGlascock CountyGlynn CountyGordon CountyGrady CountyGreene CountyGwinnett CountyHabersham CountyHall CountyHancock CountyHaralson CountyHarris CountyHart CountyHeard CountyHenry CountyHouston CountyIrwin CountyJackson CountyJasper CountyJeff Davis CountyJefferson CountyJenkins CountyJohnson CountyJones CountyLamar CountyLanier CountyLaurens CountyLee CountyLiberty CountyLincoln CountyLong CountyLowndes CountyLumpkin CountyMacon CountyMadison CountyMarion CountyMcDuffie CountyMcIntosh CountyMeriwether CountyMiller CountyMitchell CountyMonroe CountyMontgomery CountyMorgan CountyMurray CountyMuscogee CountyNewton CountyOconee CountyOglethorpe CountyPaulding CountyPeach CountyPickens CountyPierce CountyPike CountyPolk CountyPulaski CountyPutnam CountyQuitman CountyRabun CountyRandolph CountyRichmond CountyRockdale CountySchley CountyScreven CountySeminole CountySpalding CountyStephens CountyStewart CountySumter CountyTalbot CountyTaliaferro CountyTattnall CountyTaylor CountyTelfair CountyTerrell CountyThomas CountyTift CountyToombs CountyTowns CountyTreutlen CountyTroup CountyTurner CountyTwiggs CountyUnion CountyUpson CountyWalker CountyWalton CountyWare CountyWarren CountyWashington CountyWayne CountyWebster CountyWheeler CountyWhite CountyWhitfield CountyWilcox CountyWilkes CountyWilkinson CountyWorth County

Primary Email *

Email

Confirm Email

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

Phone *

How did you hear about us? *How did you hear about us?AdoptUSKidsAdvertising Campaign - BillboardAdvertising Campaign - RadioAdvertising Campaign - TelevisionChurch/Faith Based EventDigital Sign at Local BusinessDirect MailFilm AdvertisingFlyer at Local BusinessGoogle/InternetHigh School WebsiteIt’s My Turn Now GeorgiaLocal Recruitment EventLocal Recruitment Event - Braves GameMagazine AdMovie Theater KioskRadio AdRecruitment T-ShirtSocial Media - FacebookSocial Media - InstagramSocial Media - Tik TokStreaming ChannelUber - Digital SignWednesday's Child AiringWord of Mouth - Foster/Adoptive ParentWord of Mouth - FriendYard SignOther

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?

• Less than a Year
• 1-3 Years
• 4-6 Years
• More than 6 Years

What best represents your current area of interest? *What best represents your current area of interest?I wish to fosterI wish to adoptI wish to provide care for a relative or fictive kin

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?

• Yes
• No

Submit