Republic of Uganda Form 2. Form of Undertaking. Foster Care Placements. The Children Act. I/We (names of foster parents) _____________________________________ ______________________________________________________________ Who received (name of child) ____________________________________ into my/our home on (date) _______________________________________ from (name of district probation and social welfare office) ______________ _____________________________________________________________ undertake that— 1. I/We will care for (name of child) ______________________________ as though he/she were my/our own child. 2. I/We will bring him/her up in accordance with the _____________ ___________________ religion. 3. I/We will look after his/her health and allow him/her to be medically examined as required by the district probation and social welfare office. 4. I/We will allow an officer of the district probation and social welfare office or representative of the Ministry to visit my/our home and to see the child at any time. 5. I/We will inform the district probation and social welfare office immediately if the child is seriously ill, or is missing, or is involved in an accident, or is in any kind of trouble. 6. I/We will inform the district probation and social welfare office immediately if I/we plan to change residence and address. 7. I/We understand that an officer of the district probation and social welfare office has the right to remove the child from my/our home in certain circumstances. __________________________ _________________________________ Signed, foster father Signed, foster mother _________________________________ Address of foster parent _____

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