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Username:
LN:

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Name:
Age:
Occupation:
Interests:
Disabilities:

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SO:
Age:
Occupation:
Interests:
Disabilities:

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Children: (biological or adopted; names, ages, interests, disabilities)

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Others living with you (who and what is their relation?):

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Pets (name, species, ect.):

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Hometown:
House type:
Bedrooms:
Bathrooms:
Do you travel often? If yes, where to?:

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Languages spoken:
Religion:
Misc.:

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Adoptee(s)*** [see example below if you’re confused about this]
Number of children: [max 3]

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First choice(s):
Second choice(s):
Third choice(s):

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EXAMPLE
Number of children: 2

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First choice(s): 2 year old boy, newborn girl
Second choice(s): 2 year old girl, newborn boy
Third choice(s): SET: triplet girls (age 1), 4 year old girl (down syndrome)