Complete an Interest Form

To express interest in a particular child please fill out this form. If you have a completed homestudy, the information will be forwarded to the child's social worker and you will be contacted by him or her. If you do not have a completed homestudy, you will also be able to request a free information packet upon completion of this form.

Homestudy

Name of the agency which completed your homestudy.

If you have seen the Dave Thomas Foundation for Adoption Wednesday's Child television feature, in which city or cities did you see it?

If you have seen the Wednesday's Child television feature, what day or days did you see it?

Have you previously contacted a Dave Thomas Foundation for Adoption Wednesday's Child organization to express interest in a featured child?

How did you learn about the Wednesday's Child website?

If you learned of this website from another source, please enter the source here.