Fostering Connections allows a designated individual to pick up items on your behalf when needed. This form gives our team permission to release items to the person(s) you identify below, based on your selected timeframe and preferences.

Please complete this form carefully to ensure we can safely and accurately honor your request.

Please note:

• Only individuals listed on this form will be permitted to pick up items on your behalf.

• A valid photo ID may be required at the time of pickup.

• Fostering Connections is not responsible for items once they have been released to an approved individual.

• This form must be completed and kept current each year. If your preferences change, a new form must be submitted.