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Weekend Miracles® Hosting Inquiry Form

Kidsave is seeking married and single adults interested in hosting children who are available for adoption in metropolitan Washington, DC (age 12 and up) or Los Angeles County, CA (age 9 and up). If you are interested in becoming a Weekend Miracles host parent, please complete the information below.

Note: if you are interested in mentoring or volunteering opportunities, please complete a volunteer form.

*Last Name (App. 1)

*First Name (App. 1)

*Age (App. 1)

*Occupation (App. 1)

*Employer Name (App. 1)

Last Name (App. 2)

First Name (App. 2)

Age (App. 2)

Occupation (App. 2)

Employer Name (App. 2)

Home Address:

City:

State:

Zip:

Marital Status:
Single Married

Please list children at home and ages:

Contact Information:

Home Phone:

Alternate Phone (App. 1)

Alternate Phone (App. 2)

Main Email:

Alternate (App. 1) Email:

Alternate (App. 2) Email:

Homestudy Status:

Do you have an approved homestudy?
Yes No

If no, have you begun your homestudy?
Yes No

If yes, estimated completion date:

Other comments regarding your interest in participating in the Weekend Miracles program:

Where, or how, did you learn about Weekend Miracles?