Foster/Adoption Inquiry

Please take a moment to complete the following information, and we will send you additional information about becoming a foster/adopt parent through Adams County Children Services.

* Required fields

 

(note to Karl: some form fields below are mislabeled in the html code. please assign id's and names that are more appropriate.)

What are you inquiring about: 

Parent #1 First Name:*               

Parent #1 Last Name:*               

Ethnicity/Race*                           

Parent #2 First Name:*              

Parent #2 Last Name:*              

Ethnicity/Race*                           

Street Address:*                           

City:*                                               

State:*                                            

Zip Code:*                                       

Home Phone:*                             

Cell Phone:                                    

Email:                                              

Please tell us how you heard about Adams County Children's Services:

Internet Search

Social Media, please specify

Other Foster/Adoptive Parent

Newspaper Story
Television Story

News Story

Radio Program

Yard sign
Event, please specify

Church, please specify

Other, please specify










Specify here:
Comments:

If you have additional questions, please feel free to call the number below or send e-mail to Adams County Children Services staff.

Adams County Children Services
Dawn Grooms  Foster/Adoption Specialist
(937)544-2511, ext. 143
Dawn.Grooms@jfs.ohio.gov