AFN Registration Form

Please note: To register in AFN, you must have an approved home study. If you are not yet approved within your state, please go to your state web site and begin the process in your state. If you are from Texas, please fill out an adoption interest form to begin the approval process in your area.

Your registration will be active for nine months. Please fill out the information below.


* Fields in red are required.

Adoption Family Network Information
No
Yes

Your Adoption Agency Information
Select the DFPS approved home button only if DFPS completed your home study otherwise complete the other agency approved home section.
Texas Department of Family and Protective Services Approved Home
Other Agency Approved Home

Agency Address







Your Caseworker Information
Please enter your caseworkers correct phone number and email. This will facilitate our communication with them regarding your family.
( ) - Ext.

Your Family Information

Please fill in.
   
( ) - Ext.
( ) - Ext.
Best time to call:


Re-Type Your e-mail address:
Your mailing address

Other Family Information

Please fill in.
Married  
Single  
Separated  
Divorced  
Widowed  
   

 

My Adoption/Parenting Preferences
Please fill this in correctly. It will ensure that any preliminary electronic matching results are as accurate as possible.
1-2   3-4   5 or more  
13-17   7-12   0-6  
Does not matter
Boy's only
Girl's only









 
 
*Check all conditions that you and your caseworker have determined you can parent.
Developmental Conditions
Medical Conditions








Emotional Conditions
Physical Conditions





























None
Description of None
Mild
Description of Mild
Moderate
Description of Moderate
Severe
Description of Severe

Optional Information

This will help us with our recruitment efforts.
 
Yes No
If so, when and where:
  
 
How were you referred to our web site? (check all that apply):

























Thank you!

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