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NC Kids Adoption & Foster Care Network Adoption in North Carolina
September 07, 2008
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NC Kids Interest Form
If you have previously contacted NC Kids about adoption, and would like to express interest in a specific child or sibling group, please complete the following form. Your interest will be shared with a representative from NC Kids Adoption and Foster Care Network who will contact you.

Information About You

First Name:

Middle Initial:

Last Name:

Spouse’s First Name:

Spouse’s Middle Initial:

Spouse’s Last Name:

Home Telephone Number:

Work Telephone Number:


Name(s) of child or siblings in whom you are interested:


ID # Number of child or siblings:



 
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 1999 - N.C. Department of Social Services
Last Modified: April 27, 2005.