Children House International :: Information Request Form

Int'l Adoption Programs

Programs at a Glance

Waiting Children

Financial Assistance

Family Resources

Medical Resources

Adoptive Parent Training

What's Happening at CHI

Who's Who at CHI

Shopping From the Heart

To Get More Information

Donations to Children's House International

Please click below and give instructions for your donation on the PayPal form.

Please note that CHI does not solicit nor accept charitable donations from pending adoptive families.

Information Request Form

Name(s):
Email Address:
Street Address:
City, State, Zip:
Home Phone:
Work Phone:
Husband Age:		Wife Age:
Years Married:		Children Now:

Country of Citizenship:
Age of Child interested in:
Sex of Child interested in:	Boy Girl Either
Number of Children interested in:

Countries interested in:
Azerbaijan China Ethiopia Georgia, Democratic Republic of	Guatemala (Not accepting applications) Haiti Hungary India	Kazakhstan Mexico Moldova Poland Vietnam Other

Would you like us to call you? Yes No

Comments:

Children’s House International, P.O.Box 1829, Ferndale, WA 98248
Phone: (360) 380-5370 Fax: (360) 383-0640