Hello and welcome to Jecca's Adoption Agency. Fill out the form below and we will get back to you as soon as possible! You may apply as many times as you like!
Your info...
Your username on BtN:
DH:
Age:
Occupation:
Hobbies:
Hair color:
Eye color:
DW:
Age:
Occupation
Hobbies:
Hair color;
Eye color:
Current Children: (names, ages, disabilities, hobbies, hair color, and eye color)
Location:
House Type:
Bedrooms?
Bathrooms?
How much land do you live on?:
Do you have any pets? If so, please provide their names, and species:
Do you travel?
Where do you travel to?
What languages does your family speak?
Adoption info...
Number of children you'd like to adopt (max 3):
Preffered Nationalites?:
Preffered Gender(s):
Will you adopt children that are 0-3 years old?
Will you adopt children that are 4-6 years old?
Will you adopt children that are 7-9 years old?
Will you adopt children that are 10-12 years old?
Will you adopt teens (13-17)?
Do you prefer the adopted children to have easy to pronounce names?
Do you prefer the adopted children to have difficult to pronounce names?
Do you prefer the adopted children to look like you and your family?
Do you prefer the adopted children to not look like you and your family?
Will you accept children with mild mental disabilities?
Will you accept children with moderate mental disabilites?
Will you accept children with severe mental disabilites?
Will you accept children with mild physical disabilites?
Will you accept children with moderate physical disabilities?
Will you accept children with severe physical disabilites?
Will you accept children with mild learning disabilities?
Will you accept children with moderate learning disabilites?
Will you accept children with severe learning disabilites?
Will you accept children with mild allergies?
Will you accept children with moderate allergies?
Will you accept children with severe allergies?
Will you accept children with any other medical condition?
Will you accept children with any other type of disability?
Preferred languages?
Will you accept children with small pets?
Will you accept children with medium pets?
Will you accept children with large pets?
Will you accept children with exotic pets?
Will you accept twins?
Triplets?
Quads+?
Siblings?
Will you allow the children to stay in contact with parents/sibs?
Any other info?
We will do our best to match you with the perfect child.
This message was edited 5/5/2007, 12:47 PM