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If you are currently a foster parent and have an opening for a child, please fill out the questions below to better help us select a child for you. * If you are not yet a foster parent, but would like to inquire about becoming a foster parent please fill out the new foster parent form by clicking HERE. How many children do you have an opening for? 1 2 3 4 5 6 Sex of child(ren): Either Male Female Race of child(ren): No Preference White Black American Indian / Alaskan Asian / Pacific Island Bi-Racial / Mixed Hispanic Other Spanish Speaking Unknown Please select an age group for the child(ren) you would like: 0-5yrs 6-11yrs 12-18yrs. In which location do you reside: Westside Erie Eastside Erie 18th St. South to 26th St. North Side 26th St. Southside, Eastside Erie Albion, Cranesville, Springville, Springboro West Millcreek Summit (Green Township, East Millcreek) Wattsburg Waterford, Union City Corry Fairview, Lakecity, Girard Harborcreek, Wesleyville, Lawrence Park McKean, Edinboro NorthEast Enter any comments you may have in the space provided below: Tell us how to get in touch with you: Name: E-mail: Phone: Fax:

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