Organization Registration

Public or private foster adoption agencies are eligible to register on AdoptUsKids.org. Please complete the information below. Your application will be reviewed and the account administrator will be notified of account activation.
Fields marked with * are required.

Organization Information

* Organization Name:
* Address:

* City:
* State / Territory:
County:
* Zip Code:
* Phone:
()- ext:
Fax:
()-


Agency Description

* Please select the category that best describes your organization:
What are the main objectives and functions of your agency:
(i.e., represent prospective adoptive families, find families for US foster children, distribute information about adoption, etc.)
*How will you use the AdoptUsKids.org website:

Administrator Contact Information

The applicant listed below will have administrative responsibility for this organization:
Notification of agency account activation will be sent to this user along with instructions on how to add locations, workers, etc.
* First Name:
* Last Name:
* Email:
* Confirm Email:
* Password:
* Confirm Password:


Submit