Request An AngelDad

AngelDads, Inc. will do its best to match your child with an AngelDad with whom your child will enjoy spending time. Please fill out the following request form and include information about your child’s interests. We will contact you within 72 hours of your request.

Child's Name*
First Last
Gender*
- BOY
- GIRL
Child's Date of Birth*
MM
DD
YYYY
Name of School:*
Child's Home Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian Name*
First Last
Parent/Guardian Phone Number*
Parent/Guardian Email*
Information About Your Child
Share any special interests of your child to help match to the best AngelDad. Tell us about your child’s personality and any concerns you may have.
Include their hobbies, interests, allergies, etc.*
Person to Notify in Case of Emergency
Name*
First Last
Phone*
Relation to Child*
Parent/Guardian Agreement and Signature
Your Name*
First Last
Relation to Child*
Acceptance of Agreement*
- I understand that AngelDads will do their best to match my child with the most compatible AngelDad for them. I agree that I would like AngelDads to provide a positive role model and mentor for my child.
Today's Date*
MM
DD
YYYY

Click submit & please wait patiently until you receive confirmation screen before navigating away from this page. Depending on your internet speed, this could take a few minutes.

APPLY TO BE AN ANGELDAD