Post Adoption Annual Report

All fields are required. Identifying parent info, address, email, etc. will be removed from printed report.





Did you receive a Special Needs Adoption Fund grant?

Adoptive Parent's Information:


   



Adopted Child's Information:





      




Body of Report:
Please use complete sentences to provide the information requested below. Your responses will be formatted into a letter.

       
       
       
       
       
       


Please submit 5-10 photos of your child and family: Size of each photo less than 5MB

May Holt also use these materials in the following manners?

Yes, I give Holt permission to use photos in all manner of media, including unrestricted use for purposes of education, publicity, advertising, trade, display, editorial, exhibits, fund raising, Holt Calendar and art. By clicking "Yes" you also give Holt permission to publish a Welcome Home banner (described below) with your child's photo and first name.

Yes, I give Holt permission to use photos in a Welcome Home banner. Holt International's website features photos of children recently home with a message that says "Welcome Home" and the child's first name.

No



Support

Holt International is a registered 501(c)3 nonprofit organization. All donations are tax deductible to the full extent of the law. EIN: 23-7257390.