Adoption Information Packet Request

Adoption Information Packet Thank you for your interest in our program. Please fill out the following form for a free China Adoption Information Packet, or you can download an application form from here. Please review our Privacy Policy by clicking here. If you have any questions or comments, you can address them at the bottom of this form or contact us at 303-850-9998 or ccai@chinesechildren.org. We look forward to working with you.
Marital Status:	Married Single
Full Name:	If married, please include both parents' names, with the husband's name listed first: i.e. Joseph & Susan Smith or Joseph Smith & Susan Brown.
Name You Go By:	The name you go by; if married include both parent's names, husbands's name listed first: i.e. Joe & Sue
Address:
City:
State:
Zip:
Home Phone:	i.e. 000-000-0000
Email:
How you heard of CCAI:
If 2nd or 3rd CCAI adoption, Group No.
Questions & Comments:
Please check below if you would like additional information included:
	Waiting Child Program Information (For children with special needs)