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Name:
SO's Name:
Child(ren)s' names and ages, if applicable:
Place of Residence:
Pets:

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Number of children:
Preferred country/ies:
Age(s):
Gender(s):
Siblings?
Twins?
Triplets?
Quadruplets or more?
Physical disabilities (state mild-severe)?
Emotional disabilities (state mild-severe)?
Mental disabilities (state mild-severe)?
Willing to take children with pets?

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Any other input?

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