Foster Care & Adoption Inquiry Form

Please take a moment to complete the following information, and we will send you additional information about becoming a foster/adopt parent through Clermont County Children’s Services.

*Items inĀ bold are required.







Inquiring About

Parent #1 First Name:

Parent #1 Last Name:

Ethnicity/Race:

If other, please specify:

Parent #2 First Name:

Parent #2 Last Name:

Ethnicity/Race:

If other, please specify:

Street Address:

City:

State:

Zip Code:

Telephone:

Work Phone:

Email Address:

Please tell us how you heard about Clermont For Kids:

Internet SearchSocial Media, please specifyOther Foster/Adoptive ParentNewspaper StoryTelevision StoryNews StoryRadio ProgramBus SignYard SignEvent, please specifyChurch, please specifyOther, please specify

Please Specify here:

Additional Comments

If you have additional questions, please feel free to call the number below or send an email to Clermont County Children’s Services staff.

Clermont County Children’s Services
Foster Care Program Recruiter
(513) 732-7765