Pact, An Adoption Alliance Program Descriptions

2010 Pact Camp Family Information Form

This is the first step in registering for Pact Camp.
Please fill out this form and then you will be directed to our online store to pay for program fees and housing.

Parent 1 Full Name:
Race/Ethnicity:
Parent 2 Full Name:
Race/Ethnicity:
Please check all that apply:Married   Divorced   Unmarried Couple   Single Parent   Gay/Lesbian
 
Mailing Address:
City, State, Zip:
Home Phone:
Cell/Work Phone:
  MOST of our camp correspondences after registration will happen via email.
Write NO EMAIL below if you do not have regular access to an email account,
and we will send updates via postal mail.
Email Address:
 
Child 1:
Birthdate:
  Adopted into family     Born to adoptive parents
Domestic Adoption   International Adoption   (foster/adoption)
Gender: Male   Female
Race/Ethnicity:
 
Child 2:
Birthdate:
  Adopted into family     Born to adoptive parents
Domestic Adoption   International Adoption   (foster/adoption)
Gender: Male   Female
Race/Ethnicity:
 
Child 3:
Birthdate:
  Adopted into family     Born to adoptive parents
Domestic Adoption   International Adoption   (foster/adoption)
Gender: Male   Female
Race/Ethnicity:
 
How many members of your family are vegetarian?
 
Are you currently a member of Pact? Yes   No
   
Please use the area below if you have more than three children or if you have any questions or concerns.


Copyright ©1998-2010 by Pact, An Adoption Alliance
http://www.pactadopt.org
info@pactadopt.org