Hannah's Closet North Family Intake 
Hannah's Closet North is a resource center for foster, adoptive and kinship families.  Please fill out the following information to register your family with us and utilize our services.  You only need to fill this form out the first time you come or if you have changes to placements.  Placement paperwork is required when shopping.  *This is not an appointment to shop. Make an appointment on our website calendar.  
Sign in to Google to save your progress. Learn more
As the parent/caregiver registering the following children,  I certify that the details provided are true and accurate and that I will need to show placement paperwork and adoption decrees.  I will notify HCN of any children that leave my care and will not continue to shop for them.  I understand that HCN may verify placement information with other agencies or organizations. By typing my full name on the line, I understand these rules.   *
Parent/Caregiver Phone Number (XXX-XXX-XXXX) *
Parent/Caregiver Email Address *
Child 1 - First Name (Do not put last name of foster children) *
Child 1 - Date of Birth *
MM
/
DD
/
YYYY
Child 1 - Choose One  (Placement, kinship and/or adoption paperwork will be required)  *
Child 1 - Clothing Size *
Child 1 - Shoe Size *
Register Child 2? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms