Canada's Waiting Kids -- Password Request

PASSWORD REQUEST FORM

The photolisting section is password-protected. Please complete the form below if you would like a password to access the Canada’s Waiting Children photolisting site. The Information Coordinator will send you a password via e-mail.

You will receive your password via email within three business days. Passwords are sent during regular business hours, 8:30 am to 4:30 pm EST from Monday to Friday.
Please ensure that you enter a valid email address with no typos. If the email address you enter on the form is typed incorrectly, you will not receive a message with your password.

* indicates required information

APPLICANT INFORMATION

All fields marked with an asterisk (*) are required information. Please complete all required fields with valid information. Requests submitted with 123 Sesame Street or phone number (000) 000-0000 will not be granted a password to access the photolisting site. (The information will not be added to any mailing lists. You will only be contacted by phone if there is a problem with the email address provided.)

Applicant 1

Last Name* :
First Name*
Gender:*	Male Female
Preferred Language:*	English French
Are you single?	Yes No
	If no, please complete ALL fields under Applicant 2 for your partner and identify relationship status.
Primary Address*
City/Town:*
Prov:*	Outside of Canada please specify
Postal Code:*
Daytime Phone Number:*
Email Address:*	Please verify your e-mail address

Applicant 2

Last Name:
First Name:
Gender:	Male Female
Preferred Language:	English French
Daytime Phone Number:
Relationship between applicants:	Single Common-Law Married
CHILD INFO

Preferred gender of child:*	No Pref. Male Female
Preferred age range of child:*	Youngest: to Oldest:
Would you consider a sibling group?:*	Yes No If yes, at most how many children?
ADOPTION AND HOME STUDY PROCESS

Where are you in the adoption process?:*	Just started Homestudy applied for Homestudy underway Homestudy complete
Comments:

BEFORE YOU SUBMIT... If you have not received your password in your inbox within 3 business days, please check any “junk” folders you may have. Depending on your personal email settings, some of our emails may be mistakenly filed as “junk.” Thank you for your understanding.