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Background Information
Last Name: Brooks
Your Name and Age: Nicole Jane 32
Spouse's Name and Age: Shaun Steven 45
Current Children and Ages: Simone Kylie 21, Mark Bailey 17 and Tina Kelly 16 and her son 2 year old Kai Reed
Pets: none
Special Information: (optional)

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Basic Adoption Information
How many children would you like to adopt?: up to 5
Where would you adopt children from?: anywhere
Which gender do you prefer?: any
Which age range do you prefer?: any
Would you adopt a child with a pet?: no
Would you adopt a child with a disability?: no
Special Information: (optional)

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Other Adoption Information
Would you adopt twins?: yes
Would you adopt triplets?: yes
Would you adopt higher-order multiples?: yes
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)?: no
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)?: no
Would you adopt a child with a medium pet (dogs/cats)?: no
Would you adopt a child with a large or outdoor pet (horses/goats/large dogs)?: no
Would you adopt a pregnant teenager?: yes
Would you adopt a teenage parent/family?: yes
Special Information: (optional)