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HelpLirio Adoption Agency
LN:
Your name:
Age:
Interests:
Disabilities:
Your SO's name:
Age:
Interests:
Disabilities:
Child(ren) living with you (name, age, interests, disabilities): Others living with you (name, age, relations):
Pet(s) living with you:
Location:
Language(s) spoken:
Religion:
Do you travel often? If so, where to?
Other:
The Adoptee(s)
How many children do you wish to adopt?
Age(s) (0-17):
Gender(s):
Preferred country/heritage of origin:
Preferred parental status (totally orphaned, removed, etc):
Preferred language(s):
Preferred religion:
Will you accept:
Siblings?
Multiples (twins, triplets, etc.)?
Best friends?
Cousins?
Children with disabilities? If so, what sort and severity?
Children who need constant medical attention?
Children who are terminally ill?
Pregnant teens?
Teen parents? If so, which one, or both? If both, will you allow a couple to stay together?
Will you allow them to stay in contact with non-abusive parents/relatives/friends/etc?
Other:
Your name:
Age:
Interests:
Disabilities:
Your SO's name:
Age:
Interests:
Disabilities:
Child(ren) living with you (name, age, interests, disabilities): Others living with you (name, age, relations):
Pet(s) living with you:
Location:
Language(s) spoken:
Religion:
Do you travel often? If so, where to?
Other:
The Adoptee(s)
How many children do you wish to adopt?
Age(s) (0-17):
Gender(s):
Preferred country/heritage of origin:
Preferred parental status (totally orphaned, removed, etc):
Preferred language(s):
Preferred religion:
Will you accept:
Siblings?
Multiples (twins, triplets, etc.)?
Best friends?
Cousins?
Children with disabilities? If so, what sort and severity?
Children who need constant medical attention?
Children who are terminally ill?
Pregnant teens?
Teen parents? If so, which one, or both? If both, will you allow a couple to stay together?
Will you allow them to stay in contact with non-abusive parents/relatives/friends/etc?
Other:
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