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Background Information
Last Name: Hanes
Your Name and Age: Maya Rae - 29
Spouse's Name and Age: Harvey James - 32
Current Children and Ages: Leah Grace - 5 Kyler - 8
Pets: dog - Porky
Special Information: own a 5 bedroom house on 5 acres

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Basic Adoption Information
How many children would you like to adopt?: 2
Where would you adopt children from?: asia
Which gender do you prefer?: 1 each
Which age range do you prefer?: newborn
Would you adopt a child with a pet?: yes
Would you adopt a child with a disability?: sure
Special Information: not experenced with blind children

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Other Adoption Information
Would you adopt twins?: sure
Would you adopt triplets?: sure
Would you adopt higher-order multiples?: no
Would you adopt siblings?: yes
Would you adopt cousins?: yes
Would you adopt close friends?: yes
Would you adopt a child with an emotional disability (please indicate severity)?: des't matter
Would you adopt a child with a physical disability (please indicate severity)?: no
Would you adopt a child with a mental disability (please indicate severity)?: no
Would you adopt a child with multiple disabilities? no
Would you adopt a child with special dietary needs? no
Would you adopt a child with a small pet (no dogs/cats)?: yes
Would you adopt a child with a medium pet (dogs/cats)?: yes
Would you adopt a child with a large or outdoor pet (horses/goats/large dogs)?: yes
Would you adopt a pregnant teenager?: yes
Would you adopt a teenage parent/family?: yes
Special Information: (optional) no

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