Permission Form

Foster Supports of Jefferson County’s sole purpose is community supported wraparound care for foster/kinship/reunified families; surround our kids with local love.

To All Jefferson County Foster, Kinship, or Reunified Families:

Are you in need of clothing, shoes, school supplies, for kids in your care? The volunteers of Foster Supports want to tailor what we provide to meet your family's needs or wants!

We need your permission to contact you. If you wish, complete and sign this form. Please scan and email this to the address below, drop it off at DCYF Office 2507 Evans Vista Port Townsend, or mail it to Foster Supports PO Box 1362 Port Hadlock, WA 98339.

We are looking forward to serving you and will contact you quickly.

Name

First Name

Last Name

I authorize my permission for foster supports to contact me:

Yes

Phone

(###)

###

####

My preferred method for contact

Good time to contact me

Family members and birthdates

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Foster Supports sends information on events, meetings, and opportunities that might be of interest to you.

How is it best to send the newsletter to you?

May we add you to our private Foster Supports email list?

Yes

Permission Form

Foster Parents/ Relative Caregivers Start Here:

To anonymously report abuse please call 1-866-764-2233

Foster Supports is Supported By: