REGISTRATION & UPDATE FORM

NO CHARGE
IN ORDER TO BE REGISTERED YOU MUST EITHER BE
ADOPTED/FOSTERED OR LOOKING FOR AN ADOPTED OR FOSTERED PERSON
BY COMPLETEING THIS FORM YOU AGREE TO BE POSTED ON OUR REGISTRY AND ACCEPT FULL RESPONSIBILITY

ANYBODY UNDER THE AGE OF 18 YEARS OLD
WILL NOT BE POSTED

FIELDS MARKED WITH AN ** ARE MANDITORY FIELDS TO BE COMPLETED BEFORE FORM CAN BE SUBMITTED
CURRENT INFORMATION
 

FIRST NAME.........:** SURNAME......:** 
Address............:** CITY......   :** 
PROVINCE/STATE.....:** POSTAL CODE..:** 
COUNTRY............:** PHONE NUMBER.:** 
OTHER PHONE NUMBER...: E-MAIL.........:
SUBMISSION TYPE
 

 ONE BOX BELOW MUST BE CHECKED BEFORE FORM CAN BE SUBMITTED

NEW...............: 
RENEWAL...........: 
UPDATED INFO......:
DO YOU HAVE YOUR ADOPTION ORDER?
 

 ONE BOX BELOW MUST BE CHECKED BEFORE FORM CAN BE SUBMITTED

HAVE ADOPTION ORDER  yes: no.: 

ONE BOX BELOW MUST BE CHECKED BEFORE FORM CAN BE SUBMITTED
DO YOU HAVE NON-IDENTIFYING INFORMATION?   yes: no: 

 ONE BOX BELOW MUST BE CHECKED BEFORE FORM CAN BE SUBMITTED

ARE YOU AWARE OF A NO-CONTACT ORDER REGISTERED WITH THE GOVERNMENT?
  yes: no: 

 ONE BOX BELOW MUST BE CHECKED BEFORE FORM CAN BE SUBMITTED

ARE YOU AWARE OF A VETO REGISTERED WITH THE GOVERNMENT?
  yes: no:
BIRTH INFORMATION

MALE................:** 
FEMALE..............:

DATE OF BIRTH.......:** Year (4 digits): Month: Day:

BIRTH FIRST NAME(S)...........:

BIRTH SURNAME.................: NOT CURRENT NAME

PLEASE INCLUDE FIRST LETTER OF SURNAME IF FULL SURNAME IS NOT KNOWN

CITY.................:**

PROV.................:**

HOSP.BORN.....................:

FINALIZATION DATE(YYMMDD).....:
CITY ADOPTION FINALIZED.......:

ADOPTIVE NAME ........: First Name: Surname: NOT BIRTH NAME

BIRTH MOTHER'S FIRST NAME: SURNAME:
BIRTH MOTHER'S DATE OF BIRTH:

BIRTH FATHER'S FIRST NAME: SURNAME:
BIRTH FATHER'S DATE OF BIRTH:

SELECT THE VALUES BELOW THAT BEST DESCRIBE YOUR SITUATION

THE WORD ADOPTEE/FOSTERED MUST APPEAR IN ONE FIELD BELOW

I am the


looking for

CHECK BOX ADOPTION THRU CATHOLIC CHILDRENS AID
CHECK BOX NON CATHOLIC ADOPTION

PLEASE ENTER ADDITIONAL INFORMATION IN THE TEXT AREA BELOW

THE MORE WE KNOW, THE BETTER CHANCE OF A MATCH

254 Characters or less, please.

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