Latin American Adoptive Families
Registration Form
Indentifying Information
Name ________________________________________________________________
Address_______________________________________________________________
_________________________________________________________________
Phone Number_________________________________________________________
E-Mail________________________________________________________________
Children
1. Name____________________ Age__________________________
Date of Birth______________ Country of Birth_______________
Adoption Day (if applies)_____________________________________
2. Name____________________ Age__________________________
Date of Birth______________ Country of Birth_______________
Adoption Day (if applies)____________________________________
3. Name____________________ Age__________________________
Date of Birth______________ Country of Birth_______________
Adoption Day (if applies)_____________________________________
Agency Information
1. Local agency (homestudy) you used or plan to use?___________________
2. Adoption Agency you used to facilitate your adoption
or plan to
use?______________________________________________________
Volunteer Opportunities:
____ I am interested in becoming a mentor to a family
in the process of adoption
____ I am interested I helping promote adoption by speaking at an informational
meeting
____ I am interested in hosting an event in my home
____ I am interested in coordinating an event in my area with the help of LAAF
____ I am interested in developing a website for LAAF
What are some specific topics you would like to see LAAF
cover in the future?____________________________________________________
____________________________________________________
(Please See Reverse.)
Please enclose your $25/year membership donation fee,
made payable to Paulette Rodehorst (LAAF treasurer) to be utilized toward the
administrative needs of LAAF. Mail to:
Paulette Rodehorst
1637 South Jefferson Davis Parkway
New Orleans, LA 70125
(504)821-6434
laaf@laafonline.org