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Background Information
Last Name: Hart
Your Name and Age: Helena Kate (42)
Spouse's Name and Age: Gideon Christopher (44)
Current Children and Ages: Lydia Joy (12) and Dominic Rhys (10)
Pets: none
Special Information: none

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Basic Adoption Information
How many children would you like to adopt?: 7-10
Where would you adopt children from?: any country in Europe, North America, or Africa
Which gender do you prefer?: More girls than boys
Which age range do you prefer?: 2-17
Would you adopt a child with a pet?: Yes
Would you adopt a child with a disability?: Yes
Special Information: none

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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)?: Yes (any severity)
Would you adopt a child with a mental disability (please indicate severity)?: Yes (any severity)
Would you adopt a child with multiple disabilities? Yes
Would you adopt a child with special dietary needs? Yes
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)?: Only dogs
Would you adopt a pregnant teenager?: Yes
Would you adopt a teenage parent/family?: Yes
Special Information: none

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