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HelpAdoption Agency
Family:
LN:
Your name:[name and age]
SO:[name and age]
Children:[names and ages and disabilities]
Pets:
Others living with you:[name, age, disabilities]
Family interests:
Adoptee:
Number of children:[up to 5]
Genders:
Ages:
Nationality:
Siblings:
Mulitples:
Teen mothers:
Pregnant teens:
If you would like a pregnant teen/mother, would you also accept the baby's father:[leave blank if you answered no]
Disabilities and Severities:
Will you accept kids with pets? If yes, what kind(s):
Will you allow them to stay in contact with parents/other sibs? [specify which one{s} and any other conditions]
Language preference:
Religion preference:
Other:
LN:
Your name:[name and age]
SO:[name and age]
Children:[names and ages and disabilities]
Pets:
Others living with you:[name, age, disabilities]
Family interests:
Adoptee:
Number of children:[up to 5]
Genders:
Ages:
Nationality:
Siblings:
Mulitples:
Teen mothers:
Pregnant teens:
If you would like a pregnant teen/mother, would you also accept the baby's father:[leave blank if you answered no]
Disabilities and Severities:
Will you accept kids with pets? If yes, what kind(s):
Will you allow them to stay in contact with parents/other sibs? [specify which one{s} and any other conditions]
Language preference:
Religion preference:
Other:
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