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HelpJulia's Adoption Agency (edited)
Please fill out the following form in order for us to make the best possible match for you and your child(ren). Only one application per person, please.
Last name:
SO1:
SO2:
Children (names, disabilities and ages):
Location:
Pets:
Languages spoken:
Language preference, if any:
Religious preference, if any:
Country/ies:
Number of children (max 4):
Gender(s):
Age(s) (0-12):
Twins?
Triplets?
Quads?
Siblings?
For all disabilities, please indicate mild, moderate or severe.
Emotional disabilities?
Social disabilities?
Mental disabilities?
Physical disabilities?
Chronic illnesses?
Thank you!
Edit: Added countries...duh!
Last name:
SO1:
SO2:
Children (names, disabilities and ages):
Location:
Pets:
Languages spoken:
Language preference, if any:
Religious preference, if any:
Country/ies:
Number of children (max 4):
Gender(s):
Age(s) (0-12):
Twins?
Triplets?
Quads?
Siblings?
For all disabilities, please indicate mild, moderate or severe.
Emotional disabilities?
Social disabilities?
Mental disabilities?
Physical disabilities?
Chronic illnesses?
Thank you!
Edit: Added countries...duh!
This message was edited 12/30/2007, 6:45 PM
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