Enquire Now About Being a Foster Carer or Adopter

1st Applicant
1. Name:*
2. Address*
3. Tel No:*
4. Email:
5. Date of Birth (DD/MM/YYYY):*
6. Religion or belief*
7. Ethnic group*
8. Country of Birth:*
2nd Applicant
1. Name:
2. Address:
3. Tel No:
4. Date of Birth (DD/MM/YYYY):
5. Religion or belief
6. Ethnic group
7. Country of Birth:
Other Household Members
1. Name:
2. Date of Birth:
3. Relationship:
4. Name:
5. Date of Birth (DD/MM/YYYY):
6. Relationship:
7. Name:
8. Date of Birth (DD/MM/YYYY):
9. Relationship:
Label
1. Nature of enquiry (eg fostering, adoption, supported lodgings):*
2. Bedroom availability*
3. Employment/Availability:*
4. Any other relevant information:
5. If prospective adopters, is all assisted pregnancy treatment concluded?*
  
  Yes
  
  No
6. If no, please give details:
7. How did you hear about us*
Privacy
1. Dumfries and Galloway Council respect your privacy and will adhere to the data protection of your personal information in accordance with the new data protection law. The Council will only use your personal information to administer your account and to provide the products and services you have requested from us.
  
  Read the Council’s privacy statement. This explains how we use any personal information we collect about you when you use this website.
  
  I have read and understood the Council’s privacy statement.
  I freely consent to my personal information being used for the specified purposes.
2. Consent*
  
  Yes
  
  No