2026 KIN Registration

2026 KIN Registration

Please fill out the following registration form. Please allow up to 3 business days for approval.
Please select the option that best describes your relationship to the children in need.*

Parent/Guardian/CaregiverAgency Worker/CASA/Case Worker/Other Org
Name*

First NameLast Name
Organization/School/Agency Name*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone*
Please enter a valid phone number.
What is your relation to the children in your care?*
Other:*
How many children are in your care between the ages of 0-18? *You must have legal custody of these children and they must live in your home. *
Child #1 Name*
DOB*

MonthDayYear
Date
Child #2 Name*
DOB*

MonthDayYear
Date
Child #3 Name*
DOB*

MonthDayYear
Date
Child #4 Name*
DOB*

MonthDayYear
Date
Child #5 Name*
DOB*

MonthDayYear
Date
Child #6 Name*
DOB*

MonthDayYear
Date
Child #7 Name*
DOB*

MonthDayYear
Date
Child #8 Name*
DOB*

MonthDayYear
Date
Child #9 Name*
DOB*

MonthDayYear
Date
Child #10 Name*
DOB*

MonthDayYear
Date
In order to register as a KIN family, you MUST be referred from a foster agency, school social worker, or any other child-serving agency case worker.

You MUST note the agency and the worker. Without this information, your registration will NOT be approved.
Name of the referring agency or school (If you are a foster family, please list your licensing agency)*
Name of case worker/social worker*
Case worker/social worker contact information (email or phone number)*
Kids In Need of McHenry County may use my phone number to reach me about scheduling appointments. We will not use your phone number to send marketing materials.

I give KIN permissionI do NOT give KIN permission
By checking this box, you are verifying that the information above is correct. You are also verifying that you will not share your login information with anyone. If you submit any incorrect information or share the login information, you risk losing KIN services.*

I verify all of the information is correct and that I will not share the login information
Final Approval

ApprovedDenied
Please verify that you are human*
Please sign to confirm you are a representative from an agency. Caregivers CANNOT register using this method.*
Should be Empty: