Child and Family Services of Central Manitoba

Foster Care Inquiry – Intake Form

If you are interested in becoming a Foster Parent please fill out the below inquiry form and return to our agency using the contact information below and a Foster Care Worker will contact you. PDF Inquiries can be sent to


Required fields that do not apply can be filled as ‘none’ or ‘not applicable’ (NA).

"*" indicates required fields

Applicant's DOB*
Partner/Spouse's DOB
Home Address*
Date of Marriage or Common Law*
Date of Inquiry*