Halton Children's Aid Society

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8,000

The number of children and youth in care in Ontario

Adoption Inquiry Form

Please note that one applicant must be a Canadian Citizen. Each applicant must also be a resident of Halton Region. To send your completed form, click the ‘Send” button at the bottom of the page.

Fields marked with an asterisk (*) are required.

    Applicant #1
    Full Name*:
    Maiden Name:
    Other Name(s):
    Address*:
    City*:
    Province*:
    Postal Code*:
    Home Phone*:
    Mobile Phone:
    Email*:
    Date of Birth*:

     

    Applicant #2
    Full Name:
    Address:
    City:
    Province:
    Postal Code:
    Home Phone:
    Mobile Phone:
    Email:
    Date of Birth:

     

    In making this application, I hereby give permission to the Halton Children's Aid Society to contact me via telephone, mail, or email.

    Upon receipt of the completed form, we will contact you with the date of our next Adoption Information Meeting.

    Match the code shown*: captcha

    If you have concerns about a child call:

    905.333.4441

    Click here for more information on reporting abuse.

    Contact Us

    Burlington Office 1445 Norjohn Court Burlington, ON L7L 0E6
    Milton Office 325 Main Street East Milton, ON L9T 1P5
    Toll Free: 866.607.KIDS (5437) Phone: 905.333.4441 Fax: 905.333.1844 TTY: 711 (TTY to Voice)
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