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Form:

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LN: de Rosa

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Your name: Michele
Age: 30
Interests: sports, music, remote-controlled cars, travelling
Disabilities: none

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Your SO's name: Juliet Lily
Age: 29
Interests: music, travelling, cooking, architecture
Disabilities: none

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Child(ren) living with you (name, age, interests, disabilities): Constanza, 7, dolls, computer games, animals, none
Others living with you (name, age, relations): none
Pet(s) living with you (name, gender, species): Mina, female, Golden Retriever

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Location: Italy
House type: one-storey
Do you travel often? If so, where to? Every year or so, the family travels to England to visit Juliet's family

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Language(s) spoken: Italian, English, a bit of French
Nationality/ies: Italian (Juliet is naturalised as Italian)
Religion(s): Christian
Other: N/A

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The Adoptee(s)

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How many children do you wish to adopt? (max. 6) three
Age(s) (0-17): 5-14
Gender(s): two boys and one girl
Preferred origin(s): Italy, England, Australia, America
Preferred language(s): Italian/English/both
Preferred religion(s): any, will be raised Christian

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Will you accept:

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Children with pets? If so, what sorts? Yes, dogs and small animals
Siblings? Yes
Multiples (twins, triplets, etc.)? Twins only
Cousins? Yes
Neighbours? Yes
Best friends? Yes

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Children with disabilities? If so, what sort and severity? Yes, mental, physical, or other, mild only
Children who need constant medical attention? Yes, if mild
Children who are terminally ill? No

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Pregnant teens? No
Teen parents? If so, which one, or both? if both, will you allow a couple to stay together? No
Gay/lesbian teens? No

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Will you allow them to stay in contact with non-abusive parents/relatives/friends/etc? If the want to, yes

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Other: N/A