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I haven't seen one of these in a while, and while I usually prefer to be an adopter, this time I'll have to be the one in charge :P
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Welcome to Lena's Adoption Agency! Here we strive to provide children with a loving and nurturing environment with their new families. If you are interested in adopting one of more children, please fill out the form below. We would very much appreciate reports of how the child(ren) is/are doing with their new family. You may change your new child(ren)'s name(s) to something of your liking.

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LN:

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Your name:
Age:
Occupation:
Interests:
Disabilities:

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Your SO's name:
Age:
Occupation:
Interests:
Disabilities:

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Child(ren) living with you (names, ages, interests, disabilities):

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Others living with you (names, relations):
Pet(s) (names, species):

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Location:
Do you travel often? If so, where to and how often:

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What is/are the household’s religion(s):
What language(s) do household members speak:

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The Adoptee(s):
How many children do you want to adopt (max. 4):
Ages (newborn-16):
Gender(s):
Preferred origin(s):
Preferred language(s):
Preferred religion(s):

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Will you accept:
-Disabilities (kinds and severity):
-Multiples (twins or triplets):
-Siblings and/or close relatives:
-Pregnant teen?:
-Teen mom, dad, or both:
--Teen mom, dad, or both WITH child:
-Gay/lesbian teens? If so, which or both:
-Children with a terminal illness:
-Children with pets? If so, what kind(s):

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Will you allow them to stay in contact with non-abusive parents/relatives/etc.:

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Other:

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This message was edited 10/11/2010, 9:07 AM