Child Registration

1Child
2Photos
3Siblings
4Community
5Conditions
6Questions
7Narrative
8Consent

Child

The information you submit will be reviewed and a biography written. You will be contacted by someone from Adopt Kansas Kids to approve the biography. Child information submitted via this form will not be immediately available for matching purposes.

First Name *

Middle Initial

Last Name *

Date of Birth *

School Category

Gender *

Ethnicity *

Placement Status

City of Current Placement

County of Court *

Placement Contractor

Privacy

Private only, do not list this child on the site for public view.

Photos

All submitted photos must be a minimum 3" x 4" 300 dpi. Unacceptable files include scans of copies of photos, blurry or out of focus images, photos which may reveal the area where the child is residing (i.e. pictures of the child wearing a school t-shirt, photo of the child next to a recognizable landmark or where the address of their residence is visible; etc.), dark or overexposed photos, and photos which are of poor composition. If you don't have a photo that meets the necessary requirements, you can request one below.

Request a Professional Photo

I need a professional photo taken.

City

Date Range

Worker

Phone Number

Email Address

Additional Notes

Siblings

Please add information for each of the child's siblings.

Sibling

Full Name

Date of Split Approval by Provider

Additional Notes

This sibling must be adopted with the child.

Add Another Sibling

Questions

Please be thorough in your descriptions as the answers below are used to draft the child's biography.

What are your strengths(or what are you good at)? What do you need help with? *

What are your hobbies/interests(sports, racing, ballet, etc.)? Why do you enjoy these activities? *

What is your favorite class at school? Why? *

What makes you laugh? *

What would you like to do when you grow up? *

What are you most proud of? What is one thing you work very hard to do? *

Narrative

Please be thorough in your descriptions as the answers below are used to draft the child's biography.

Additional information about child's needs *

Progress child has made *

Challenges *

How child relates to peers and adults *

Child's educational needs and accomplishments *

Can this child be placed out of state? *

If child cannot be placed out of state, what is the reason?

Can this child be placed in own Region?

If child cannot be placed in own Region, what is the reason?

Suggestions of what the child needs or would like from a family *

Can this child be placed out of state? *

Do you want this child added to Adopt US Kids? *

Consent

Case Management

Provider Case Manager *

Adoption Worker

Agency *

Region *

Case Manager's Direct Phone Number *

Case Manager's Email Address *

Foster Parents/Placement

Name

Address

City

State

Zip Code

Phone Number

Email Address

Fax Number

Release

Consent/Release for Adopt Kansas Kids web site, AdoptUSKids national web site, and above selected Community Awareness Initiatives.

I hereby agree and consent to the use of my photograph and/or image and usage of statements made by me featured the Kansas Children's Service League, the AdoptUSKids website mediums, and the above selected Community Awareness Initiatives for purposes of resource family recruitment, and I waive all claims for compensation or damages. (Approval statement is for child age 10 or older. If child is younger, approval indicates that an age appropriate discussion has been held with the child.)

I Agree to the Consent/Release. *

Child Approval

Child Name *

Date *

Case Manager Approval

Case Manager Name *

Date *

Supervisor Approval

Supervisor Name *

Date *

Child

Placement Status

Privacy

Photos

Request a Professional Photo

Upload Photos

Siblings

Sibling

Community

Recruitment Efforts

Recruitment Areas

Conditions

Behavioral

Physical

Emotional

Developmental

Learning

Risk Factors

Questions

Narrative

Consent

Case Management

Foster Parents/Placement

Release

Child Approval

Case Manager Approval

Supervisor Approval