Dream Referrals
Please fill out the form below if you are between the ages of 15-25 or if you would like to refer a dream on behalf of the foster youth in that age range. Referrals will be considered regarding help with education, career goals, independent living, and/or constructive hobbies or talents.
Referrals

Top 3 Dream Ideas

In the spaces below, please list the TOP THREE Dream ideas in just a few sentences

Youth Information

Did the youth age out of foster care without adoption, kinship placement, or being reunified with family? *
Has this youth received a dream through dream makers? *
I am 18 or older. Please use my photo on the website. *
I am a minor OR I do not wish to send a photograph. Please assign me a stock photo. *

Photo & General Media Release

I, the undersigned, hereby authorize Dream Makers - a program of America’s Kids Belong to use my submitted words and media. I authorize the use of any such printed, photographic, or electronic reproductions for any purpose, including, but not limited to educational and promotional media as may be deemed appropriate by Dream Makers - a program of America’s Kids Belong.

Agreed & Accepted By:

I am signing this form as an Individual *
I am signing this form as a representative of a group, and have full authority to grant release for this group
Upload Your Photo *
Maximum upload size: 2MB

STOCK PHOTO INFORMATION:

We will certainly provide you with a Stock Photo. First, we need a little information:

Can we use your real First Name on the Website? *

No Problem - We will assign you an Alias.

Sending

*Disclaimer: Dream Makers reserves the right to refuse dreams based on liability or improbability of fulfillment*

America's Kids Belong

Dream Makers is a program out of America's Kids Belong. America's Kids Belong is a 501(c)(3) non-profit

Address

America's Kids Belong 1540 Main St. Unit 218 #331 Windsor CO 80550

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