Alabama Pose Adoption Connections


 

   

Contact Information Form


What county are you from?

Name 
Address 
City 

State    Zip

Telephone number

E-mail Address

Are you interested in information about the following service(s)?

Information and Referral
Adoptive Family Support Groups
Resource Library
Special Events
Educational Trainings
Camp APAC
Free Family Counseling

Comments/Questions/Book you would like to receive on loan:

Referred by:

Do you live in Alabama? Yes No

Are you an adoptive parent of a child under the age of 19?
  Yes No

Are you a foster parent of a child under the age of 19?
  Yes No

Are you a professional interested in the field of adoption?
  Yes No

What is your sex: Male Female 

What is your age: 0-12 13-40 40+

What is your race: Black White Other

What is your economic level:  Low Average  High

 

Alabama Post Adoption Connections

Copyright © APAC, 2001
Alabama Post Adoption Connections

181 West Valley Avenue, Suite 300
Homewood, AL 35209

Phone: 1-866-803-APAC
Email: info@casapac.org

 


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