Interest Form

WAIT: Only 1 parent should complete this form:

If you’re not sure if the other birth parent has already filled out this form, please check with them or reach out to us to find out first. If both birth parents fill out this form, 2 separate cases will be created in our system.

If both birth parents are required to participate in Resetting the Family, please make sure to include the other birth parent’s name and all contact information on Step 2, including the best email for the other birth parent. Otherwise, your case record may get messed up.