Pact, An Adoption Alliance - Program Descriptions

Support Groups & Chat Lists

Service for Adoptive Parents of Color (and their parenting partners)

This form is to receive information about Pact's online chat group for adoptive parents (and pre-adoptive parents too!) of color and their parenting partners. If you are local we will also add your family to our email list to receive information about our local educational and social gatherings.

Please fill out the following form so we can learn more about you and your family.

Parent's Name(s):
Email Address:
Mailing Address:
City, State, Zip:
Home Phone:

Tell us about your family.

Race of Parent:
Race of Parent:

Child's Name:
Age:
Gender:	Male Female
Race/Ethnicity:

Child's Name:
Age:
Gender:	Male Female
Race/Ethnicity:

Child's Name:
Age:
Gender:	Male Female
Race/Ethnicity:

Current Pact Family Member?	Yes No

Please list any issues, concerns or ask any questions you may have here: