Welcome to Norah's adoption agency. Please fill out the form below and we will strive to match you with children who are in need of a loving home! Enjoy, BtN-ers!
LN:
Your name:
Age:
Occupation:
Interests:
Disabilities:
Your SO's name:
Age:
Occupation:
Interests:
Disabilities:
Child(ren) living with you (names, ages, interests, disabilities):
Others living with you (names, relations):
Pet(s) (names, species):
Location:
Do you travel often? If so, where to and how often:
What is/are the household’s religion(s):
What language(s) do household members speak:
The Adoptee(s):
How many children do you want to adopt: (max. 3)
Ages (newborn-17):
Gender(s):
Preferred origin(s):
Preferred language(s):
Preferred religion(s):
Will you accept (please be specific!):
-Disabilities (kinds and severities):
-Multiples (twins or triplets):
-Siblings and/or close relatives:
-Pregnant teen?:
-Teen mom, dad, or both:
--Teen mom, dad, or both WITH child:
-Gay/lesbian teens? If so, which or both:
-Children with a terminal illness:
-Children with pets? If so, what kind(s):
Will you allow them to stay in contact with non-abusive parents/relatives/etc.:
Other: