<% ' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit. On Error Resume Next Session("FP_OldCodePage") = Session.CodePage Session("FP_OldLCID") = Session.LCID Session.CodePage = 1252 Session.LCID = 1033 Err.Clear strErrorUrl = "" If Request.ServerVariables("REQUEST_METHOD") = "POST" Then If Request.Form("VTI-GROUP") = "0" Then Err.Clear Set fp_conn = Server.CreateObject("ADODB.Connection") FP_DumpError strErrorUrl, "Cannot create connection" Set fp_rs = Server.CreateObject("ADODB.Recordset") FP_DumpError strErrorUrl, "Cannot create record set" fp_conn.Open Application("Database1_ConnectionString") FP_DumpError strErrorUrl, "Cannot open database" fp_rs.Open "SCPetition_OBC", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable FP_DumpError strErrorUrl, "Cannot open record set" fp_rs.AddNew FP_DumpError strErrorUrl, "Cannot add new record set to the database" Dim arFormFields0(17) Dim arFormDBFields0(17) Dim arFormValues0(17) arFormFields0(0) = "voter" arFormDBFields0(0) = "SC_Voter_Yes" arFormValues0(0) = Request("voter") arFormFields0(1) = "Support" arFormDBFields0(1) = "Support" arFormValues0(1) = Request("Support") arFormFields0(2) = "nonid" arFormDBFields0(2) = "In_Favor_Non_ID_18" arFormValues0(2) = Request("nonid") arFormFields0(3) = "Area_Code" arFormDBFields0(3) = "Area_Code" arFormValues0(3) = Request("Area_Code") arFormFields0(4) = "F_name" arFormDBFields0(4) = "F_Name" arFormValues0(4) = Request("F_name") arFormFields0(5) = "SCAdoption" arFormDBFields0(5) = "SCAdoption" arFormValues0(5) = Request("SCAdoption") arFormFields0(6) = "Email" arFormDBFields0(6) = "Email" arFormValues0(6) = Request("Email") arFormFields0(7) = "City" arFormDBFields0(7) = "City" arFormValues0(7) = Request("City") arFormFields0(8) = "Phone" arFormDBFields0(8) = "Phone" arFormValues0(8) = Request("Phone") arFormFields0(9) = "City_Birth_Adoption" arFormDBFields0(9) = "SC_Voter_No" arFormValues0(9) = Request("City_Birth_Adoption") arFormFields0(10) = "OBC" arFormDBFields0(10) = "In_Favor_OBC" arFormValues0(10) = Request("OBC") arFormFields0(11) = "Zip" arFormDBFields0(11) = "Zip" arFormValues0(11) = Request("Zip") arFormFields0(12) = "Address" arFormDBFields0(12) = "Address" arFormValues0(12) = Request("Address") arFormFields0(13) = "Adoption_Position" arFormDBFields0(13) = "Adoption_Position" arFormValues0(13) = Request("Adoption_Position") arFormFields0(14) = "L_name" arFormDBFields0(14) = "L_Name" arFormValues0(14) = Request("L_name") arFormFields0(15) = "St" arFormDBFields0(15) = "St" arFormValues0(15) = Request("St") arFormFields0(16) = "Comments" arFormDBFields0(16) = "Comments" arFormValues0(16) = Request("Comments") FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0 If Request.ServerVariables("REMOTE_HOST") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_HOST"), "Submit" End If FP_SaveFieldToDB fp_rs, Now, "Date_Submitted" fp_rs.Update FP_DumpError strErrorUrl, "Cannot update the database" fp_rs.Close fp_conn.Close Session("FP_SavedFields")=arFormFields0 Session("FP_SavedValues")=arFormValues0 Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") Response.Redirect "SCPetitionconfirmation.asp" End If End If Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") %> Petition

 

South Carolina
Adoption Reform
SCAR

Let's work together to change the laws !!!
RELEASE OF THE ORIGINAL BIRTH CERTIFICATE

 

Please sign the petition  

 

In favor of an adult adoptee age 21 to obtaint their original birth certificate Yes    No    *
In Favor of adoptee age 18 to obtain background/health info? Yes    No     *
First Name
 *
Last Name
 *
Address
City
State
Zip
  *
Email Address
 *
Re-type Email Address
Phone Number
 Area Code: Phone:
I Am:
*
If you are an adoptee, adopted parent, birth parent or member of the adopted or birth family: did the adoption have a connection with S.C. (birth, adoption, termination, adopted/birth parent location) Yes    No

Which City & State Birth/Adoption
If Resident of SC - Are you a registered voter

Yes    No

Can we count on your support for law changes in S C for adoption reform? Yes    Not at this time   *
Comments
You will go to the confirmation page after you click submit button, please  check your info provided for all required areas denoted by *

 

 

  Please visit our other site - S C Adoption Reunion Registry