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: _____________________________________________________
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- scientifically based research u s department of education
- chapter 1 statistics part 1 coconino county community
- winston salem forsyth county schools front page
- a chemical orthodoxy schools science and education
- national 4 5 physics portree high school
- the child age o to size 6x will get one dress outfit 3
- in the first week of school you will become a part of a group
- name date
- los angeles mission college home
Related searches
- i will get started
- things will get better synonym
- starbucks promotions buy one get one free
- everyone will die one day
- starbucks buy one get one free 2019
- one half of 3 4
- certifications that will get you a job
- pandas get one row
- size 6x dresses
- size 6x dresses for girls
- starbucks buy one get one free 2020
- buy one get one starbucks