A
CHILD WAITS FOUNDATION
Phone 866-999-2445
~ Fax 518-794-6243 ~ Email:cnelson@achildwaits.org
www.achildwaits.org
I______________(adoptive mother) and I _______________(adoptive father)
Please print name Please print name
Agree to:
1) Give A Child Waits Foundation permission to contact the Adoption Agency and Social Worker(s) who are assisting us in our adoption process. It is our understanding that information obtained via telephone or in written form will be used to determine loan qualification.
2) Give A Child Waits Foundation permission to obtain a current credit report for the determination of the loan and subsequent credit reports during the term of any outstanding loan for compliance with borrower's representations, warrants and covenants.
3) If given a loan, we agree to write our adoption story or be interviewed by A Child Waits Foundation staff, and provide pictures for the benefit of other families who are considering adoption. Yes_____ No_____
4) Once the adoption process is complete, we give the Foundation permission to use our story and/or photographs on their website, and/or printed material, with the purpose of helping families to adopt children. Yes_____ No_____
We understand that the answers given for questions 3 and 4 above will have no effect on loan determination.
Signature Date
__________________________ ______________________
Adoptive Mother
Signature Date
__________________________ ______________________
Adoptive Father