The child age o to size 6x will get one dress outfit, 3 ...



Foster Care Support Foundation Mail order

Order received____/____/____ order filled____/____/____

For scheduled pick up order, please check here__________

FAX from the DFCS office to 770-641-3084.

All information is for records only and is kept confidential. Please fill out all information accurately in order for us to fill your order and insure a good fit. Mailing is available for children who live more than 70 miles from Roswell. We are not able to ship infant equipment and toys at this time due to the high cost of shipping charges, but will mail clothing to the DFCS office for foster parent to pick up. If a designated person would like to pick up multiple orders, we can schedule pick up and then include toys and infant equipment. Each mail-out child receives 11+ outfits, plus new underwear, socks, shoes, sleepwear, bathing suit/summer, coats/winter, hat and gloves in winter, a stuffed animal, books and toy. If you need infant equipment, you may find it worth your while to drive to the center for an appointment. All items are upon availability and are not guaranteed. Accepting our items constitutes on your part that we are not liable for any defects, damage or durance of said items. For information call- 770-641-9591, email info@, or check out our website at

Please print information below-------------------------------------------------------------

Foster parent name:____________________________County____________________

Foster Parent address: ____________________City________________Zip__________

Foster Parent telephone:_________________FP email:_________________________

Caseworker name:__________________________Phone_____________________

Child’s name: _______________ _____________________DOB________________ Status: Per-diem amount $________ intake date__________Winter ___ Summer ___ Case Plan: Reunification in a state licensed foster home______________

Reunification in a relative foster home*_________

Non reunification Relative home* _____ Long term foster care (teens)_______

Safety net __ Grandparents raising Grandchildren *____

*DOB of relative caregiver____________

TPR’d and waiting for adoption into another home_________

TPR’d and waiting adoption in the existing foster home __________

Child is 1) Adopted ___ 2) In Guardianship___3) Permanent Custody ____

Please list size, weight and stature of child as precise as possible to insure the best fit

Male ____ Female____ Age ____Height ______ Weight _______

Hair (straight, short, long, curly, African, Caucasian) circle as many as needed for hair items selection

Stature (short, tall, average, thin husky) circle as many as needed

shoe size ______ Wide, narrow, medium (circle one) dress size _____________

Shirt size______ Pant size ______ Favorite Shirt Color ______________________

Bra Size 30, 32,34,36,38,40,42, 44 a,b,c,d,dd, other (circle one number and one letter)___

Pajama’s ____Underwear _____Comments____________________________________

Reading grade level for books______developmental age for toys selection____________ Toys favorites____________________________________________________________

________________________________________________________________________

Missing information may result in delay or omission of items.

Caseworker signature________________________________County_______________

Caseworkers email: _____________________________________________________

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