CMFCAA 7 Core Issues In-Person Groups Registration Question Title * 1. Contact Information Name Address Address 2 City/Town ZIP/Postal Code Email Address Phone Number Question Title * 2. County Randolph Howard Boone Audrain Montgomery Callaway Cooper Pettis Benton Morgan Moniteau Cole Osage Gasconade Maries Miller Camden Dallas Laclede Pulaski Phelps Crawford Dent Texas Other (please specify) Question Title * 3. Are you a foster/adoptive/guardianship/kinship caregiver? (Select all that apply) Foster Adoptive Guardianship Kinship Question Title * 4. How many foster children are currently in your home? 0 1 2 3 4 5 6 7 8 9 10 Question Title * 5. How many adoptive children are currently in your home? 0 1 2 3 4 5 6 7 8 9 10 Question Title * 6. How many guardianship children are currently in your home? 0 1 2 3 4 5 6 7 8 9 10 Question Title * 7. How many kinship children are currently in your home? 0 1 2 3 4 5 6 7 8 9 10 Question Title * 8. How many biological children are currently in your home? 0 1 2 3 4 5 6 7 8 9 10 Question Title * 9. How many adults are in your home? 0 1 2 3 4 5 6 7 8 9 10 Question Title * 10. Will you require childcare? (our team will reach out to you if so) Yes No Question Title * 11. Which location will you be attending the support group? Rolla Osage Beach Done